CAJ | 학술논문

目的探讨应用钛网支架与前臂游离皮瓣即刻修复上颌骨部分洞穿缺损的手术方法.方法对2004年至2008年收治的19例上颌部肿瘤患者,于切除肿瘤后即刻应用钛网支架修复骨质缺损,并以前臂游离皮瓣覆盖于钛网支架表面修复口腔黏膜缺损.结果 19例中16例患者术后功能与外形均获得较为满意的效果,患者发音清晰,进食时无口鼻腔返流现象;有3例术后钛网支架部分外露、感染,遂去除钛网支架,将挛缩的前臂游离皮瓣重新展开,并缝合于缺损部位,口鼻腔瘘得到关闭,患者的发音、进食功能无明显影响,仅面中部有轻度塌陷.结论应用钛网支架与前臂游离皮瓣修复上颌部缺损是一种简单、可行的方法,吞咽与语言功能得到较好的维护,同时也获得了较为满意的面部外形.
목적 탐토응용태망지가여전비유리피판즉각수복상합골부분동천결손적수술방법.방법 대2004년지2008년수치적19례상합부종류환자,우절제종류후즉각응용태망지가수복골질결손,병이전비유리피판복개우태망지가표면수복구강점막결손.결과 19례중16례환자술후공능여외형균획득교위만의적효과,환자발음청석,진식시무구비강반류현상;유3례술후태망지가부분외로、감염,수거제태망지가,장련축적전비유리피판중신전개,병봉합우결손부위,구비강루득도관폐,환자적발음、진식공능무명현영향,부면중부유경도탑함.결론 응용태망지가여전비유리피판수복상합부결손시일충간단、가행적방법,탄인여어언공능득도교호적유호,동시야획득료교위만의적면부외형.
Objective To investigate the application of titanium mesh and free forearm flap for reconstructiou of maxillary defect resulted from tumor resection. Methods From 2004 to 2008, 19 cases with maxillary tumor underwent tumor resection. The defects were reconstructed immediately with titanium mesh for bony defects and fiee forearm flap for oral mucosa defects. Results 16 cases achieved satisfactory functional and cosmetic results. The speech assessment was good without orounsal reflux. The titanium mesh was exposed and infected in 3 cases. Then the meshes were taken out and the defects were covered with the forearm flap to close the oronasal fistule. The midface was slightly depressed with no functional morbidity. Conclusions It is simple and practical to reconstruct maxillary defect with titanium mesh and free forearm flap. Both the functional and cosmetic results are satisfactory.