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題 名 | 口鼻瘻管--病例報告=Oronasal Fistula--Case Report |
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作 者 | 馬魁; 陳立愷; 胡洪琪; 盧彥丞; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 7:2 1996.09[民85.09] |
頁 次 | 頁120-129 |
分類號 | 416.95 |
關鍵詞 | 口鼻瘻管; 島瓣; 閉孔器; |
語 文 | 中文(Chinese) |
中文摘要 | 在牙科臨床上不論何種原因造成之口鼻�硎煄A手術目的即要改善患者說 話、飲食吞嚥、呼吸、假牙之穩定性及外觀等功能。至於修補方法則視�硎瑐篕� 大小及位置而定,臨床上發現硬組織缺損大於軟組織,故除一般學理檢查外更需 靠探針及X-光合併診斷才能確知範圍,絕不可以肉眼所見為準。較大的口鼻�硎� 多採用雙層覆蓋術及使用手術移植架來增加手術成功機會。至於選擇何種雙層覆 蓋術則需經過取模、探測缺損範圍及紙模作業才能決定。本文提出一病例為69 歲男性製作上顎全口義齒時,因口鼻�硎瑄N樹脂壓入鼻腔,經耳鼻喉科醫師由鼻 內夾出後轉入本科治療口鼻�硎煄A經Fickling-Inkwell及上�Z島瓣合併手術,另用 K-wire固定手術移植架,術後島瓣生長良好。一般於文獻的記載上,對口竇�硎� 多所陳述,而對於口鼻�硎牏妊祗z較少,本文除提出病例外,並強調在術前一定 要有妥善的治療計劃,力求島瓣容易旋轉,且張力減至最小,並有豐富血管供應; 另提及手術移植架在全口無牙患者簡易固定之方法。 |
英文摘要 | The surgical management of oronasal fistula is to improve the functions suchas: speech, swallowing, respiration, denture stability and cosmetics. The method ofsurgical repair will depend on the actual size of fistula. It is not sufficient todetermine the size of fistula only by inspection, other examination such as probingand radiograph should be performed. The surgical management with double-layerflap method and stent application would increase success rate. In cinic, there are 4surgical measure of the choices of double-layer flap 1. precise impression 2. marginprobing and detection 3. paper surgery and 4. model study. The proper physical examination and complete treatment plan before theoperation to ensure the easy rotation of the flap as well as least tension forenough blood supply are essential prior any surgical intervention at present reportwas strongly recommeded. A case of 69-year-old male patient with upper fulldenture, been suffered from oronasal fistula when local dentist relining resing oncorresponding area of full denture; The resin was forced into nasal cavity. He wastransfered to local E.N.T. clinic to remove necrotic bone and resin. Since fistulastill persisted so he was referred to our department. The Fickling-inkwell andpalatal island flap surgical measure was carried out by our department. K-wire tofix the stent was applied. In this case, prognosis of the patient after surgery wasvery progressively. We noted that the operation not only reduced the patient'sdiscomfort but also facilitated the healing of operation wound. It seems muchbetter than any traditional surgery. |
本系統中英文摘要資訊取自各篇刊載內容。