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頁籤選單縮合
題名 | The Role of Temporalis Muscle Flap in Intraoral Reconstruction after Cancer Surgery=顳肌瓣在癌症術後口腔重建角色之評量 |
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作者 | 郭生興; 李正喆; 陳信銘; 郭英雄; 楊博正; 韓良俊; | 書刊名 | 中華牙醫學雜誌 |
卷期 | 17:4 1998.12[民87.12] |
頁次 | 頁205-216 |
分類號 | 416.96 |
關鍵詞 | 顳肌瓣; 口內重建; 口腔癌; Temporalis muscle flap; Intraoral reconstruction; Oral cancer; |
語文 | 英文(English) |
中文摘要 | 本文分析作者3年來利用顳肌瓣重建癌症術後口內缺損之經驗。接受評估約有12 位病人,其中有 1 例肌瓣部份壞死,另 1 例全部壞死,但都可歸因於技術上誤差。研究中 並無發現任何病人有術後顏面神經痳痺。部份但非全部病人之開口程度會變小,在頰部重建 之病例中最大開口程度平均減少 7.5mm。 術後顳區凹陷程度亦因人而異, 嚴重下陷只在 3 位病人中出現,然而所有這些病人對術後的美觀情況均可接受。我們的結論是顳肌瓣是一種 可靠又具可變性的口內重建技術,但術者及病人應先了解其可能後遺症並儘量預防。 |
英文摘要 | This article presents the authors' 3-year experiences with the temporalis muscle flap in oral reconstruction after cancer surgery. Twelve patients were evaluated. One partial necrosis and one total necrosis of the flap were noted, but those complications were attributable to technical errors. No patient experienced facial nerve paralysis after the surgery. Reduction in mouth opening occurred in some but not all patients, and a 7.5mm average decrease in maximum mouth opening was noted in patients with buccal reconstruction. Temporal hollowing was also a variable phenomenon and severe depres- sion was noted in three patients, but the esthetic results were generally acceptable in this group of patients. It was concluded that the temporalis muscle flap is a versatile and reliable technique for intraoral reconstruction. However, the possible complications should be understood and efforts should be undertaken by the surgeons and the patients alike to prevent them from occurring. |
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