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目的探讨上颌骨及面中份缺损修复重建的方法。方法选取2004至2012年因上颌骨及面中份缺损行组织瓣重建患者22例。共使用组织瓣26块,其中游离组织瓣20块,带蒂组织瓣6块;包括前臂皮瓣14块,股前外侧肌皮瓣2块,腹直肌2块,腓骨肌皮瓣2块,颊脂体瓣2块,胸大肌皮瓣、咽上缩肌瓣、颊肌黏膜瓣及腭瓣各1块。结果 26块组织瓣中1例前臂因血管栓塞失败,余组织瓣均完全成活。患者术后进食及语音功能良好。结论应用游离及局部组织瓣可较好修复上颌骨及面中份的缺损和功能。局部组织瓣仅适用中小型缺损的重建;大型上颌骨及面中份缺损宜采用游离组织瓣修复。
Objective To investigate the method of reconstruction and reconstruction of maxillary and facial midrange defects. Methods Twenty-two patients with reconstruction of tissue flap due to maxillary and midfacial defects from 2004 to 2012 were selected. A total of 26 tissue flap, of which 20 free tissue flap, pedicle flap tissue 6; including forearm flap 14, anterolateral muscle flap 2, 2 rectus abdominis muscle, fibular myocutaneous flap 2, Buccal fat flap 2, pectoralis major muscle flap, pharyngeal systolic flap, buccal muscularis mucosal flap and the palate flap of a. Results Twenty-six of the tissue flaps suffered from failure of vascular embolization in one forearm, and the remaining flap was completely alive. Patient postoperative eating and voice function is good. Conclusion The application of free and local tissue flap can better repair the defect and function of maxillary and midface. Local tissue flap is only suitable for the reconstruction of small and medium-sized defects; large maxillary and facial middling defects should be repaired with free tissue flap.