A discussion on the application of free flaps in postoperative defect repair of oral and maxillofacial tumors
游离皮瓣在口腔颌面部肿瘤术后缺损修复中的运用论述

摘要

各个年龄阶段的人群均可能发生口腔颌面部肿瘤，该疾病现阶段已成为了临床中发生率较高的疾病类型之一。手术是现阶段临床治疗口腔颌面部肿瘤的主要手段，虽然能取得比较理想的效果，然而术后在口腔颌面区域却会存在明显的组织缺损，不仅会在一定程度上影响患者的发音功能以及吞咽功能，而且也会导致其精神心理压力加重，对其日常生活造成严重影响。所以在对口腔颌面部肿瘤患者进行治疗时，在将病变组织彻底切除的前提下，还应选择合理的组织瓣修复，以有效回复损伤区域的功能及外观。在显微外科技术和相关仪器设备逐渐完善、进步的过程中，在口腔颌面部肿瘤术后缺损修复中，游离皮瓣的应用也越来越广泛，其不仅具有较高的修复成功率，同时相比于带蒂组织瓣，游离皮瓣的并发症也更少。本文主要论述了游离皮瓣在口腔颌面部肿瘤术后缺损修复中的运用进展情况。

Abstract

Oral and maxillofacial tumors may occur in people of all ages, and the disease has become one of the most common disease types in clinical practice. Surgery is the main means of clinical treatment of oral and maxillofacial tumors at present stage. Although it can achieve ideal results, there will be obvious tissue defects in the oral and maxillofacial region after surgery, which will not only affect the patients' pronunciation function and swallowing function to a certain extent, but also lead to the aggravation of their mental and psychological pressure, which will have a serious impact on their daily life. Therefore, in the treatment of patients with oral and maxillofacial tumors, on the premise of complete resection of the diseased tissue, we should also choose reasonable tissue flap repair, so as to effectively restore the function and appearance of the injured area. With the improvement of microsurgical techniques and related equipment, free flaps are more and more widely used in the repair of defects after oral and maxillofacial tumor surgery. It not only has a high success rate of repair, but also has fewer complications compared with pedicled flaps. This article mainly discusses the application of free flaps in the reconstruction of oral and maxillofacial defects after tumor resection.