朱兰省

    [摘要] 目的：评价不同组织瓣在口腔上颌窦瘘修复中的应用。方法：收集2000年3月～2007年6月，在我院就诊的口腔上颌窦瘘患者26例，分别采用带蒂颊脂垫瓣、颊侧黏骨膜瓣、腭黏骨膜瓣修复转移修复。结果：7例采用带蒂颊脂垫瓣修复者均Ⅰ期愈合，采用颊侧黏骨膜瓣、腭黏骨膜瓣修复者各有1例失败，Ⅱ期采用带蒂颊脂垫瓣修复均正常愈合。术后随访3个月～2年，全部患者创口愈合良好，颊侧黏骨膜瓣修补的患者术后口腔前庭沟均有不同程度变浅，采用带蒂颊脂垫瓣修复者无供区功能障碍和面部畸形。结论：颊侧黏骨膜瓣、腭黏骨膜瓣能良好地封闭瘘孔较小的口腔上颌窦瘘，对于瘘孔较大、颊侧黏骨膜瓣或腭黏骨膜瓣无法完全封闭瘘孔者或术后需行活动义齿修复者，需采用带蒂颊脂垫瓣转移修复。

    [关键词] 组织瓣；口腔上颌窦瘘；修复

    [中图分类号] R782.2+4[文献标识码]C [文章编号]1673-7210(2009)05(b)-057-02

    The application of tissue flap in the reconstruction of oroantral fistula

    ZHU Lanxing

    (Department of Stomatology, the 2nd Affiliated Hospital of Henan College of Traditional Chinese Medicine, Zhengzhou 450002,China)

    [Abstract] Objective: To evaluate the clinical effect of the tissue flap in the reconstruction of oroantral fistula. Methods: From March 2000 to June 2007,26 cases with oroantral fistula were treated with buccal fat pad flap, cheek flap and palatal mucoperiosteal flap. Results: 7 cases with buccal fat pad flap achieved healing by first intention. 2 cases with cheek flap and palatal mucoperiosteal flap failed, and healed well when the buccal fat pad flap was adopted at the second stage. All cases were followed up 3 months to 2 years, the buccal vestibule of the tooth for patients with cheek flap were shallow in varying degrees. There were no obvious dysfunction and facial deformity for patients with buccal fat pad flap. Conclusion: The cheek flap and palatal mucoperiosteal flap can well seal the small oroantral fistula, while the buccal fat pad flap is useful in reconstruction of the big oroantral fistula. ......