文章摘要
李雅冬,杨凯,张劲松,张福军,陈睿.带肋骨胸大肌肌皮瓣重建下颌骨的临床疗效[J].山西医科大学学报,2009,40(4):370~372
带肋骨胸大肌肌皮瓣重建下颌骨的临床疗效
Clinical efficacy of pectoralis major muscle musculocutaneous flap plus rib for mandible reconstruction
  
DOI:
中文关键词: 下颌骨损伤  〓下颌骨重建  〓外科皮瓣
英文关键词: mandibular lesion  〓mandibular reconstruction  〓surgical flap
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作者单位
李雅冬,杨凯,张劲松,张福军,陈睿 重庆医科大学附属第一医院口腔科重庆400016 
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中文摘要:
      目的〓 探讨带肋骨胸大肌肌皮瓣重建下颌骨形态及功能的临床疗效,为修复重建下颌骨提供临床治疗方法。 〓方法〓 带肋骨胸大肌肌皮瓣修复重建下颌骨12例,其中创伤8例,肿瘤4例。术后6,12,24,36个月随访观察,评价下颌骨形态及术后咀嚼效率恢复情况。 〓结果〓 12例带肋骨胸大肌肌皮瓣全部成活,患者下颌骨形态恢复较好,术后咀嚼效率与健侧对比为30%-75%。 〓结论〓 带肋骨胸大肌肌皮瓣在口腔颌面部组织缺损的修复中具有很大的灵活性,能修复口腔颌面部较大面积的缺损,且成活率高。
英文摘要:
      Objective〓 To explore the clinical efficacy of pectoralis major muscle musculocutaneous flap plus rib for mandible reconstruction. 〓Methods〓 The soft tissue and mandible defects of 12 patients(8 with trauma and 4 with carcinoma)were reconstructed using pectoralis major muscle musculocutaneous flap plus rib.Masticatory efficiency and aesthetic restoration were analyzed and evaluat ed after treatment for 6,12,24 and 36 months, respectively. 〓Results〓 All the pectoralis major muscle musculocutaneous flap plus rib survived completely.All patients achieved the relative satisfactory appearances.Masticatory efficiency was 30%-75%after treatment. 〓Conclusion〓 The pectoralis major muscle musculocutaneous flap plus rib is versatile in the reconstruction of oral and maxillofacial soft tissue and mandible defects,and it can reconstruct the large defects of the oral and maxillofacial region with high survival rate of the flap.〖JP〗
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