前庭成形術合併使用上顎黏膜移植應用於口腔癌術後齒槽骨萎縮之重建－病例報告

Vestibuloplasty Using Palatal Mucosa Graft in Compromised Alveolar Ridge Due to Tumor Ablation Surgery－A Case Report

涂曦丰(Hsi-Feng Tu) ； 楊政杰(Jack Yang) ； 張哲壽(Che-Shou Chang) ； 高壽延(Shou-Yen Kao)

《中華民國口腔顎面外科學會雜誌》 13卷1期 (2002/03) Pp. 40-50

https://doi.org/10.7104/CJOMS.200203.0040

摘要

口腔腫瘤切除後，往往帶給病人許多美觀及功能上的問題，適當的重建手術以協助病患，獲得更佳的生活品質。口內缺損區常常需要利用舌瓣修補，然而隨之而來的口底升高與被固定的舌頭，時常會干擾到未來贋復工作的進行。前庭成形術是本類病患常接受的重建方式，由於缺損區較大，皮膚移植或是黏膜移植往往是必須的。本病例報告介紹一位59歲男性罹患舌癌，在接受腫瘤切除一年後，利用前庭成形術合併上腭顎黏膜移植，使原本運動受限之舌頭活動更靈活，同時也增加齒槽脊的深度以利於之後的贋復工作。

關鍵字

口腔癌 ； 前庭成形術 ； 顎黏膜移植 ； 舌瓣

並列摘要

After intraoral tumor ablation surgery, a local flap like tongue flap is usually used to repair the soft tissue defect overlying the alveolar ridge. However, in orderto fully cover the exposed bony ridge with such local flap, it usually results in elevating mouth floor and shallow vestibule happened. This condition will hinder the following prosthetic rehabilitation. This kind of patients, usually, needs a second stage surgery to restore their alveolar height .Here we present a case, suffered from tongue cancer and received tumor excision and tongue flap repair, sought for denture rehabilitation one year after the operations due to limited tongue movement and inadequate vestibule depth. Vestibuloplasty with palatal mucosa graft has been utilized in this case. His tongue was freed and the ridge height was regained by this method. After that, the patient got his esthetics and oral function recovered.

並列關鍵字

vesibuloplasty ； palatal mucosa graft ； oral cancer ； tongue flap