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題 名 | 斜方肌皮島瓣合併胸大肌皮島瓣於腫瘤切除後顏面部缺損區重建之應用--病例報告=Combined Trapezius Myocutaneous Flap with Pectoralis Major Myocutaneous Flap in Reconstruction of Head and Neck Tumor Surgery--A Case Report |
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作 者 | 林冠州; 卓成吉; 高壽延; 張哲壽; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 8:2 1997.09[民86.09] |
頁 次 | 頁63-70 |
分類號 | 416.95 |
關鍵詞 | 斜方肌皮島瓣; 胸大肌皮島瓣; 重建手術; Trapezius myocutaneous flap; Pectoralis major myocutaneous flap; Reconstructive surgery; |
語 文 | 中文(Chinese) |
中文摘要 | 胸大肌皮島瓣(Pectoralis Major Myocutaneous Flap)由於根蒂走向穩定,根蒂夠粗,且成功率高,在臨床上常用於重建腫瘤切除後之口外顎面缺損區。但由於腫瘤切除後留下之口腔顎面之口內缺損區太大時無法以單一島瓣作修復,有待合併舌皮瓣進行重建手術,造成術後舌部運動受限。本文病例採用斜方肌皮島瓣(Trapezius Myocutaneous Flap)代替舌皮瓣,合併胸大肌皮瓣修補顎面缺損,對於保留舌部運動功能,及術後外觀之恢復,可致令人滿意之效果。 |
英文摘要 | The pectoralis major myocutaneous flap (PMMCF) is a convenient tool for the reconstruction of maxillofacial soft tissue defect after tumor extirpation. For the repair of large thru-and-thru facial defect, however, folding of this flap for intraoral lining is sometimes performed and may predispose to an umpredictable prognosis due to the compromised circulation distal to the folded area. Another choice for the intraoral repair is the tongue flap which may complicated with the disturbance of its postoperative function. In the case report, a case with the large facial defect repaired by the combination of the PMMCF and trapezius flap is proposed. Post-operatively, the esthetics is satisfactory. |
本系統中英文摘要資訊取自各篇刊載內容。