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胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损临床分析

冼淡 王磊 陈巨峰 李嘉朋 李金 张国润

中国美容医学2017,Vol.26Issue(5):104-106,3.
中国美容医学2017,Vol.26Issue(5):104-106,3.

胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损临床分析

Sternocleidomastoid Myocutaneous Flap for Reconstruction of Soft Tissue Defect after Mandibular Gingival Carcinoma

冼淡 1王磊 1陈巨峰 1李嘉朋 1李金 1张国润1

作者信息

  • 1. 佛山市第一人民医院口腔科 广东 佛山 528000
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of sternocleidomastoid myocutaneous flap for repairing mandibular gingival carcinoma postoperative defect. Methods 15 cases of patients with mandibular gingival cancer were retrospectively analyzed,including 6 cases of T1N0M0,T2N0M07 cases,T2N1M02 cases,using sternocleidomastoid myocutaneous flap to repair the defect,including 5 cases reconstruction using titanium plate at the same time.All patients were followed-up for 6 months to 5 years after surgery. Results 14 of 15 cases gained phase I healing,1 case suffered distal part necrosis following iodoform gauze tamponade before phase Ⅱ granulation healing. 14 cases have no recurrence or metastasis.1 case had local recurrence after 8 months. Conclusion Using sternocleidomastoid myocutaneous flap to repair postoperative defect after mandibular gingival carcinoma is a simple and effective method with smaller trauma.

关键词

下颌牙龈癌/胸锁乳突肌肌皮瓣/下颌骨缺损/修复/疗效分析

Key words

mandibular gingival carcinoma/sternocleidomastoid myocutaneous flap/mandibular defect/reconstruction/curative effect analysis

分类

医药卫生

引用本文复制引用

冼淡,王磊,陈巨峰,李嘉朋,李金,张国润..胸锁乳突肌肌皮瓣修复下颌牙龈癌术后缺损临床分析[J].中国美容医学,2017,26(5):104-106,3.

中国美容医学

OACSTPCD

1008-6455

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