临床口腔医学杂志2016，Vol.32Issue(10)：624-625,626,3.DOI:10.3969/j.issn.1003-1634.2016.10.015
下颌骨内侧牙龈处理改良法对口底瘘预防效果的观察
The effect of modified mandibular lingual gingiva removal and reconstruction on the prevention of mouth floor fistula in combined radical dissection of oral caner
蒋梁 1胡传宇 1李文强 1张广 1黄平 1陈卫民1
作者信息
- 1. 华中科技大同济医学院附属同济医院口腔医学中心 湖北 武汉 430030
- 折叠
摘要
Abstract
Objective:To explore appropriate mandibular lingual gingiva removal and reconstruction methods to pre-vent mouth floor fistula.Methods:One hundred and eighty-one cases of oral cancer with combined radical dissection of carci-noma,jaw and neck were retrospectively analyzed in this study.The mandible was transected by thin reciprocating saw in all patients so as to reduce gingival impairment in the resection and reconstruction procedure.The incidence of mouth floor leak-age was observed.Results:The flaps survived in 180 patients.Additionally, primary healing was observed in 179 patients while mouth floor infection happened in one patient and fistula in another one patient.Conclusion:It is modified lingual gin-giva removal and reconstruction to attenuate gingival stimulation and decrease difficulties of reconstruction,in order to com-pletely close mouth floor and effectively prevent mouth floor fistula in oral cancer patients with mandible transection.关键词
口腔癌联合根治术/下颌骨/牙龈/口底瘘Key words
Combined radical dissection of oral cancer/Mandible/Gingiva/Mouth floor fistula分类
医药卫生引用本文复制引用
蒋梁,胡传宇,李文强,张广,黄平,陈卫民..下颌骨内侧牙龈处理改良法对口底瘘预防效果的观察[J].临床口腔医学杂志,2016,32(10):624-625,626,3.
