上颌骨切除术后外科修复进展

doi:10.6040/j.issn.1673-3770.0.2020.326

摘要/Abstract

摘要： 外伤、先天性畸形等原因会造成上颌骨缺损,但绝大多数上颌骨缺损发生在恶性肿瘤切除术后。术后造成关键解剖结构的缺损,不仅严重损害患者外形美观,而且造成吞咽、言语、咀嚼等功能缺失,使患者遭受身心创伤。因此,上颌骨因解剖复杂性使得修复重建手术成为外科医生面临的最困难的挑战之一。但上颌骨缺损尚未有统一的分类系统和对应的修复方法。此篇综述回顾总结上颌骨缺损分类、修复类型及优缺点、修复方法等,并对上颌骨缺损分类的未来进行展望。

关键词: 分类, 上颌骨缺损, 赝复体, 自体组织, 修复方法

Abstract: Maxillary defects can result from trauma, congenital malformation and other causes, but are mostly caused after malignant tumor resection. Postoperative defects of key anatomical structures severely damage the patient's esthetic appearance and cause the loss of swallowing, pronunciation, chewing and others functions, leading to physical and mental trauma. Therefore, the anatomical complexity of the maxilla makes reconstruction surgery one of the most difficult challenge for surgeons. However, there is no unified classification system or corresponding method for maxillary defect repair. This review is aimed at summarizing the classification system for maxillary defects, repair types, advantages and disadvantages, repair methods and future prospects of maxillary defect classification.

Key words: Classification, Maxillary defect, Prosthesis, Autologous tissue, Repair method

中图分类号:

R782.2

李亚楠，皇甫辉. 上颌骨切除术后外科修复进展[J]. 山东大学耳鼻喉眼学报, 2021, 35(5): 113-117.

LI Yanan，,HUANGFU Hui. Advancements in surgical repair after maxillectomy[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(5): 113-117.

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