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利用皮膚移植進行腐蝕性舌頭粘連之重建-病例報告

Treatment of Tongue Adhesion Caused by Chemical Burn-A Case Report

摘要


嚴重的口腔腐蝕性傷害,常見於吞食强酸或强鹼物質的病人,因疤痕收縮造成小口症、口內前庭變淺及舌頭粘連等現象,使病人張口、吞嚥、進食及發音出現困難,對外觀也有影響。本文提出一藉由兩次半層型皮膚移植手術,重建因腐蝕性傷害而造成舌頭粘連的病例,術後追蹤半年,舌頭運動有顯著改善。

並列摘要


Severe caustic injury of oral cavity may cause microstomia, shallowing of vestibule, and adhesion of tongue. They will in turn cause difficulties in mouth opening, swallowing, ingestion and phonation. The facial appearance may also be changed. We presented a case of tongue adhesion caused by caustic injury during an attempt of committing suicide. The adhesion was lysed and mouth floor resurfaced with STSG in two operations. The resultant range of motion of tongue was acceptable.

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