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在头颈外科中常需重建口腔,以往曾选用额部皮瓣,肩胸皮瓣,颈部皮瓣,但这些皮瓣手术常需要几次才能完成,并且术后供皮区遗留一个明显的疤痕。作者介绍采用游离的腹股沟皮瓣成功地移植重建口腔一例。病例报告: 44岁女病人,上颌窦癌经过几次治疗包括钴~(60)外照射,抗癌药物颞浅动脉灌注,最后施行右侧上颌骨切除,术后造成右颊部凹陷,硬腭及鼻中隔缺失,以后患者施行整复手术均未成功。右颊部除明显疤痕以外,还伴有下颌关节纤维性强直。患者于全麻下切除右颊及口腔疤痕组
In the head and neck surgery often need to reconstruct the oral cavity, the past had the forehead flap, shoulder and chest flap, neck flap, but these flap surgery often need several times to complete, and postoperative donor area left a clear scar. The author describes the use of free inguinal skin flap successfully reconstructed a case of oral. Case report: 44-year-old female patient, maxillary sinus cancer after several treatment including cobalt ~ (60) external irradiation, anti-cancer drugs, superficial temporal artery perfusion, and finally the implementation of the right maxillary excision, postoperative right cheek depression, Nasal septum missing, after the operation of patients with plastic surgery were unsuccessful. In addition to the right cheek significant scar, but also accompanied by mandibular joint fibrous ankylosis. Patients underwent general excision of the right cheek and oral scar group