游离皮瓣修复口腔癌术后缺损感觉恢复的研究

游离皮瓣修复口腔癌术后缺损感觉恢复的研究
张铁柱;姜颖;陈坤;黄文荣;凌瑞
【期刊名称】《口腔颌面外科杂志》
【年(卷),期】2013(23)3
【摘要】Objective:To evaluate sensory recovery in the noninnervated free flaps after oral reconstruction.Methods:Sixteen cases were included in this study:eight free fibula osseo-cutaneous flaps were employed for reconstruction of mandible and oral defects,and eight free radial forearm flaps for tongue defects.Flap sensations to touch,pain,two-point discrimination and warm vs cold were evaluated in each patients at time intervals ranging from 6 to 18 months after surgery.Results:Good sensory recovery manifested in seven flaps (43.7％),eight flaps (50％) recovered partially,and one flap (6.3％) failed to recover
sensation.Conclusion:Spontaneous return of partial sensation was documented in noninnervated free flaps after oral reconstruction.%目的:评估非感觉性游离皮瓣修复口腔癌术后缺损感觉功能的恢复情况.方法:追踪16例口腔癌患者,其中游离腓骨肌皮瓣修复下颌骨缺损8例,游离前臂皮瓣修复舌缺损8例,术后6～18个月检测移植后皮瓣的轻触觉、两点辨别觉、痛觉和冷热觉的恢复情况.结果:7例皮瓣(43.7％)至少2/3面积有感觉恢复,8例皮瓣(50％)有部分感觉恢复,1例皮瓣(6.3％)无感觉恢复.结论:非感觉性游离皮瓣修复口腔癌术后缺损可自行恢复部分感觉功能.
【总页数】3页(P212-214)
【作者】张铁柱;姜颖;陈坤;黄文荣;凌瑞
【作者单位】广东医学院附属医院口腔科,广东湛江524000;广东医学院附属医院口腔科,广东湛江524000;广东医学院附属医院口腔科,广东湛江524000;广东医学院附属医院口腔科,广东湛江524000;广东医学院附属医院口腔科,广东湛江524000
【正文语种】中文
【中图分类】R739.8
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