带蒂胸大肌肌皮瓣在口腔颌面整复中应用的体会

首都医科大学学报 ›› 1988, Vol. 9 ›› Issue (1): 45-49.

带蒂胸大肌肌皮瓣在口腔颌面整复中应用的体会

徐明, 李春生, 沈方杞, 隋良朋, 刘五一, 李季

北京口腔医院口腔颌面外科

收稿日期:1987-03-01 修回日期:1900-01-01 出版日期:1988-01-15 发布日期:1988-01-15

The Application of Pectoralis Major Myocutaneous Flap in the Reconstruction of Oral-Maxillofacial Defects

Xu Ming

Beijing Stomatological Hospital

Received:1987-03-01 Revised:1900-01-01 Online:1988-01-15 Published:1988-01-15

摘要/Abstract

摘要： 本文总结了应用带蒂胸大肌肌皮瓣修复口腔颌面部缺损、畸形20例的临床经验和教训。20例中肌肉蒂11例、血管蒂8例、肌皮蒂1例。结果16例完全存活,8例部分存活,1例坏死。皮瓣最大面积为10×14cm²。文章详细叙述了皮瓣的制取要点,蒂的类别及适应症,蒂转移至头颈部的方式及肌皮瓣的固位。并对皮瓣坏死的原因及预防措施作了探讨。

关键词: 蒂, 胸大肌肌皮瓣, 整复

Abstract: Clinical experience from the application of pectoralis major myocutaneous flap in the reconstruction of oral-maxillofacial defects in 20 cases were discussed in this article. Among the 20 cases, pedicle muscle in 11 cases, pedicle vascular in 8 cases, and pedicle myocutaneous in 1 case. The results were as follow: 16 cases survived, 3 cases partly survived, and 1 case failed, The largest size of the flaps was 10×14 cm². The article described in detail the main points how to prepare the flaps, The categories and indications of the pedicle, how to transfor the pedicle to the head and neck and how to fixation the myocutaneous flap, The reason and prevention of the necrosis of the flaps was also discused.

Key words: pedicle, pectoralis major myocutaneous flap, reconstruction

徐明;李春生;沈方杞;隋良朋;刘五一;李季. 带蒂胸大肌肌皮瓣在口腔颌面整复中应用的体会[J]. 首都医科大学学报, 1988, 9(1): 45-49.

Xu Ming. The Application of Pectoralis Major Myocutaneous Flap in the Reconstruction of Oral-Maxillofacial Defects[J]. Journal of Capital Medical University, 1988, 9(1): 45-49.

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