游离前臂皮瓣、颊脂垫移植双重修复上颌缺损

Reconstruction of maxilla defects using buccal fat pad and radial forearm flap

摘要: 目的: 探讨用颊脂垫、前臂皮瓣双重修复上颌缺损的临床效果。方法: 采用颊脂垫与前臂皮瓣联合修复6例上颌缺损,观察患者术后皮瓣成活情况及语音、吞咽、呼吸功能恢复情况,以此评价手术效果。结果: 上颌修复皮瓣全部成活,无明显语音、吞咽、呼吸功能的改变。结论: 颊脂垫加前臂皮瓣修复上颌缺损是一种较满意修复上颌的手术方法,可很好地解决患者术后的生理和心理负担。

Abstract: Objective: To explore the clinical effects of reconstruction of maxilla defects with buccal fat pad and radial forearm flap.Methods: Six cases of maxilla defects were reconstructed using buccal fat pad and radial forearm flap.The clinical effects were evaluated by the vitality of the flap,and the function of speech,swallowing and breath.Results: All the flaps were alive.No hindrance to speech,swallowing or breath was observed.Conclusions: It is a good method to reconstruct the defects of maxilla with buccal fat pad and radial forearm flap,which greatly improves the life quality of the patients.