口腔颌面部重建中无神经支配的前臂游离皮瓣感觉恢复的观察
【中图分类号】R782
【文献标识码】A
【文章编号】1672-5085(2007)07-0029-02
【摘要】目的:检验无神经支配的前臂游离皮瓣修复口腔颌面部组织缺损后的感觉功能恢复情况。方法:测试10例采用前臂桡侧或尺侧游离皮瓣分别修复口底、舌、口咽部、颊部和颏部皮肤缺损后6~36个月皮瓣表面冷热感觉、痛觉及触觉。结果:皮瓣感觉恢复次序为热、冷、痛、触觉。面部皮肤缺损修复皮瓣感觉恢复较口腔内组织缺损修复皮瓣好。结论:从功能性修复方面,无神经支配的前臂游离皮瓣不适宜用于大面积的口腔及咽部软组织缺损修复,较适用于面部软组织缺损修复。
【关键词】颌面部重建 外科皮瓣 感觉恢复
Oromaxillo-facial region reconstruction impassivity domination of the forearm swim to leave a skin petal a felling instauration of observation.Zhan Shebing1 Bai Xuefeng2
【Abstract】Purpose:Examination impassivity domination of the forearm swim to leave the skin petal repair Oromaxillo-facial region organization defection and damage behind of felling function instauration circumstance.Method:The test is 10 adoption the forearm side or foot sidestroke to leave a skin petal respectively repair bottom, tongue's swallowing behind department, cheek department and the Hai department skin defection and damage 6~36 months skin petal surface be cold hot felling, pain feel and touch.Result:Skin petal felling instauration order of sequence is hot, cold, pain, touch.The defection and damage repair of the face skin skin petal felling instauration compare inside mouth cavity organization defection and damage repair skin petal good.Conclusion:Repair from the function, impassivity domination of the forearm swim to leave a skin petal unwell proper used for the mouth cavity of big area and swallow a soft organization defection and damage repair, compare be applicable to face soft organization defection and damage repair. ......
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