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題名 | 後天性上顎缺損之重建--手術修補或閉孔器=Acquired Maxillay Defect-Surgical Reconstruction or Obturator |
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作者姓名(中文) | 劉巡宇; 初昌傑; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷期 | 7:1 1996.03[民85.03] |
頁次 | 頁49-55 |
分類號 | 416.955 |
關鍵詞 | 上顎缺損; 閉孔器; |
語文 | 中文(Chinese) |
中文摘要 | 造成上顎缺損主要原因為口腔惡性腫瘤侵犯至上顎區周圍,經手術切除 後產生。上顎缺損會導致吞嚥、咀嚼及發音功能異常。上顎缺損修補方式主要為 島瓣手術修補或以閉孔器修補,至於如何選擇此兩種修補方式,一直是爭論之焦 點。本文統計59位上顎缺損之患者,其中40位接受閉孔器修補,19位接受手術修 補。結果顯示閉孔器修補,大多使用在切除較晚期之口腔癌、顏面槍彈傷及上顎 骨放射性骨壞死,所造成之上顎缺損,及年齡較大之患者,比例上男性比女生高。 而手術修補大多使用在較早期之口腔癌及口腔良性腫瘤切除之患者,比例上女性 比男性高。上顎缺損範圍在上顎半切除以下,使用閉孔器及手術修補,皆能得到 良好術後發音功能異常矯治之效果。如手術切除範圍深至軟愕後緣,閉孔器則比 手術修補到得到較好矯治發音異常之效果。 |
英文摘要 | Most patient who have acquired maxillary defects suffer from dysfunction ofdeglutition, mastication and speech. Those maxillary defect may be restored by surgicalreconstruction or by prosthetic rehabiliation with obturator. It is a continuing debate onthe most appropriate methods of reconstruction for patient. 59 patients who have acquiredmaxillary defects most resulted from extensive oral cancer serves as the subjects. 40 caseswho reconsruction with obturator and 19 cases who reconstruction with different flaprepair. The speech of each case was evaluated either before and after surgery in thosetreat with flap repaired or with obturator mangement may best be applied on extensiveoral cancer, gun shot injury and osteoradionecrosis of maxilla. Most surgical repair used inearly oral cancer and benign tumor resection, placement of an obturator or surgical closurecan improve the speech of most patients who have maxillary defects belowhemimaxillectomy. The patient who had large defect extending into psterior edge of softpalate obtains better restoration of speech and function from obturator management ratherthan surgical reconsturction. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。