CAJ | 학술논문

目的探讨应用鼻中隔组织瓣修补上颌骨切除后硬腭缺损的效果.方法对26例行上颌骨手术的患者分别应用全鼻中隔组织瓣(16例)和部分鼻中隔组织瓣(10例)进行修复.结果 26例中21例Ⅰ期愈合,恢复了正常吞咽及发音功能.5例出现瘘孔,2例经换药愈合,3例经2次手术缝合后2例痊愈,1例仍遗留小的瘘孔;外侧颊部略凹4例；6例术后安装义齿不适合；无鼻背下陷者.随访时间6～134个月,中位时间34.5个月.Kaplan-Meier生存曲线计算总的3年、5年、10年的生存率分别为46.2％、30.8％和11.5％.结论应用鼻中隔组织瓣修复方法优点是鼻中隔不易被侵犯,取材方便,抗感染能力强,易于愈合.鼻中隔有软骨作支架,可减少面部的畸形.该修复方法适合于修复切除硬腭或部分切除硬腭的缺损.
목적 탐토응용비중격조직판수보상합골절제후경악결손적효과.방법 대26례행상합골수술적환자분별응용전비중격조직판(16례)화부분비중격조직판(10례)진행수복.결과 26례중21례Ⅰ기유합,회복료정상탄인급발음공능.5례출현루공,2례경환약유합,3례경2차수술봉합후2례전유,1례잉유류소적루공;외측협부략요4례；6례술후안장의치불괄합；무비배하함자.수방시간6～134개월,중위시간34.5개월.Kaplan-Meier생존곡선계산총적3년、5년、10년적생존솔분별위46.2％、30.8％화11.5％.결론 응용비중격조직판수복방법우점시비중격불역피침범,취재방편,항감염능력강,역우유합.비중격유연골작지가,가감소면부적기형.해수복방법괄합우수복절제경악혹부분절제경악적결손.
Objective To discuss the effect of repairing of palatum durum defects following maxillectomy using nasal septum tissue flap.Methods Twenty-six patients underwent maxillectomy and the defects were repaired by using full (16 cases) and partial (10 cases) nasal septum tissue flaps.Results Twenty-one patients were healed by first intention,recovering swallowing and pronunciation function.Five patients suffered from fistula holes,and 2 healed after dressing while 2 of the other 3 patients healed after second suturing with 1 still got a small fistula hole.Facial deformity include 4 exterior cheek mild concave and 6 complained about unsuited false teeth and no dorsal subsidence was found.The 3,5,10 year survival rate was 46.2％,30.8％ and 11.5％ respectively. Conclusions Repairing defects with nasal septum tissue flap has advantages.Nasal septum can not be invaded easily,and the material can be got with ease,with rich blood supply,being resistant to infection,easy to heal and less chance of leading to fistula holes.With the cartilage of nasal septum as support,facial deformity can be reduced.And the method is worth spreading and exploiting.