摘要： 目的：评价颏下皮瓣在口腔颌面部软组织缺损修复中的应用。方法：采用颏下皮瓣修复口腔颌面部软组织缺损26例，年龄35～80岁；男性18例，女性8例；恶性肿瘤21例，均排除淋巴结转移，良性病变3例，外伤致软组织缺损2例；均用颏下皮瓣修复，皮瓣大小为（3.5 cm×8.0 cm）～（4.0 cm×10.0 cm）。结果：25例皮瓣一期愈合，有1例皮瓣创口裂开，延期愈合。受区外形及功能恢复良好，术后随诊4～20个月，皮瓣在术后2～3个月有10%～15%的缩小。结论：颏下皮瓣制备简单、安全，修复口腔颌面部中小型软组织缺损效果良好。

关键词: 颏下皮瓣, 口腔颌面部缺损, 修复外科

Abstract: Objective: To evaluate the clinical results of submental island flap in the restoration of soft tissue defects in orofacial region. Methods: 26 oral and maxillofacial defect patients were retrospectively reviewed. The ages of the patients ranged from 35 to 80 years, 18 were male, 8 were female. Malignant tumors were 21 cases while benign lesions were 3 case and trauma deformity in 2 cases. The sizes of submental island flap varied from 3.5 cm×8.0 cm to 4.0 cm×10.0 cm. Result: Flaps healed with first intension in 25 cases. One case showed wound dehiscence and then a delayed healing. Functions and appearances of the defects were well restored in all patients. Conclusions: Submental flap is reliable for reconstruction of small and mid-sized defects in oral and maxillofacial region.

Key words: submental flap, oral and maxillofacial defect, reconstructive surgery

中图分类号: 

• R782.2