《Journal of Oral and Maxillofacial Surgery》 ›› 2012, Vol. 22 ›› Issue (5): 361-363. doi: 10.3969/j.issn.1005-4979.2012.05.013

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Submental Island Flap for the Reconstruction of  Oral and Maxillofacial Soft Tissue Defects

WANG Xiao-jun, HAO Zhi-hong, GUO Jun-mei, GUO Qi, YU Yong-hong, LIU Huan-lei   

  1. Department of Oral and Maxillofacial Surgery, Anyang Municipal Stomatology Hospital, Anyang 455000, Henan Province, China
  • Online:2012-10-28 Published:2013-01-02

颏下皮瓣在修复口腔颌面部软组织缺损中的应用

王晓军,郝志红,郭俊梅,郭琦,于永红,刘焕磊   

  1. 安阳市口腔医院颌面外科,河南 安阳 455000
  • 通讯作者: 王晓军,副主任医师. E-mail:aykqwxj@163.com
  • 作者简介:王晓军(1971—),男,河南省安阳人,副主任医师,学士.

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

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

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