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目的探讨应用颏下岛状皮瓣修复颊部软组织缺损的效果。方法对1999年6月至2010年9月南通大学附属医院口腔颌面外科收治的26例颊部软组织缺损病例(恶性肿瘤术后颊部软组织缺损22例,车祸外伤所致的颊部软组织缺损4例),应用颏下岛状皮瓣即刻修复,所采用组织瓣面积最大8cm×4cm,最小6cm×3cm。从功能恢复与缺损形态恢复的满意度评价术后修复效果。结果 26例皮瓣均完全成活,其中25例面部形态满意,1例外观欠佳。结论颏下岛状皮瓣是修复颊部软组织缺损的有效方法。
Objective To investigate the effect of applying submental island flap to repair cheek soft tissue defect. Methods Twenty-six cases of buccal soft tissue defect (buccal and soft tissue defect in 22 cases of malignant tumor after surgery, carpal soft tissue defect caused by traumatic injury in 4 cases) were treated in Department of Oral and Maxillofacial Surgery, Nantong University Affiliated Hospital from June 1999 to September 2010. Cases), the application of submental island flap immediate repair, the tissue flap area used by the largest 8cm × 4cm, the smallest 6cm × 3cm. The effect of postoperative rehabilitation was evaluated from the satisfaction of functional recovery and defect shape recovery. Results All flaps survived in 26 cases, of which 25 cases were satisfied with facial appearance and 1 case had poor appearance. Conclusion Submental island flap is an effective method to repair cheek soft tissue defects.