| 游离皮瓣修复口腔癌术后缺损感觉恢复的研究 |
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| 引用本文： | 张铁柱,姜颖,陈坤,黄文荣,凌瑞.游离皮瓣修复口腔癌术后缺损感觉恢复的研究[J].口腔颌面外科杂志,2013,23(3):212-214. |
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| 作者姓名： | 张铁柱 姜颖 陈坤 黄文荣 凌瑞 |
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| 作者单位： | 张铁柱 (广东医学院附属医院口腔科,广东湛江,524000)； 姜颖 (广东医学院附属医院口腔科,广东湛江,524000)； 陈坤 (广东医学院附属医院口腔科,广东湛江,524000)； 黄文荣 (广东医学院附属医院口腔科,广东湛江,524000)； 凌瑞 (广东医学院附属医院口腔科,广东湛江,524000)； |
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| 摘 要： | 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。
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| 关 键 词： | 非感觉性游离皮瓣 感觉 恢复 |
Sensory Recovery in the Noninnervated Free Flaps For Oral Reconstruction |
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| Abstract: | 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. |
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| Keywords: | noninnervated free flap sensation recovery |
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