CAJ | 학술논문

目的：探讨折叠延长下斜方肌岛状皮瓣修复面颊巨大洞穿性缺损的可行性。方法：选择我院2011年7月至2013年12月收治的18例患者，其中面颊部恶性肿瘤扩大切除6例，电击伤9例，动物咬伤3例，均以面颊部巨大缺损及洞穿性缺损为主，缺损面积约6cm×8cm～10cm×14cm，使用折叠延长下斜方肌岛状皮瓣修复。皮瓣长9～30cm，宽为8cm折叠对面颊部洞穿性缺损进行修复，恢复口腔内衬，以及口腔外侧面颊皮肤。结果：经修复后，18例皮瓣全部成活，患者口腔功能满意，外观良好。结论：折叠延长下斜方肌岛状肌皮瓣能够在面颊部巨大洞穿性损伤的修复中，作为首选皮瓣，其操作安全，且简单可靠，效果满意。
목적：탐토절첩연장하사방기도상피판수복면협거대동천성결손적가행성。방법：선택아원2011년7월지2013년12월수치적18례환자，기중면협부악성종류확대절제6례，전격상9례，동물교상3례，균이면협부거대결손급동천성결손위주，결손면적약6cm×8cm～10cm×14cm，사용절첩연장하사방기도상피판수복。피판장9～30cm，관위8cm절첩대면협부동천성결손진행수복，회복구강내츤，이급구강외측면협피부。결과：경수복후，18례피판전부성활，환자구강공능만의，외관량호。결론：절첩연장하사방기도상기피판능구재면협부거대동천성손상적수복중，작위수선피판，기조작안전，차간단가고，효과만의。
Objective:To investigate the feasibility of folding extended lower trapezius myocutaneous island flap to repair large penetrating defect of cheek. Methods:18 cases of buccal malignant tumor in the hospital from July, 2011 to December, 2013 were under the huge extended resection of buccal penetrating defect, with 6 cases with cheek malignant tumor resection, 9 cases with electrical injury and 3 cases with animal bites. Cheek defect and scored huge defect was the main phenomenon with 6cm×8cm~10cm×14cm area. And folding extended lower trapezius myocutaneous island flap was used. Skin island length was 9~30cm, and the width was 8cm folded cheeks penetrating defect repair. The oral lining and the outside of the cheek skin around mouth were restored. Results:After the repair, 18 flaps survived with satisfactory appearance and good oral function. Conclusion:Folding extended lower trapezius island myocutaneous flap can appear in the radical operation of oral malignant tumor after the cheek great penetrating injury, as the preferred flap, safe operation, simple and reliable and satisfactory effect.