Morel M, Danino A, Malka G
Service de chirurgie maxillofaciale, plastique, esthétique et reconstructrice, CHU de Dijon, hôpital général, 3, rue du Faubourg-Raines, BP 1519, 21033 Dijon, France.
Ann Chir Plast Esthet. 2001 Feb;46(1):5-9.
Due to its central position, mobility and good blood supply, the tongue is a most suitable donor site for the closure of cleft palate fistulae. The aim of this retrospective study was to reassess the efficacy of the lateral tongue flap technique, first reported in 1884 and in use up to the 1970s, after which it was replaced by more sophisticated methods for the reconstruction of buccal and labial defects, which however could be deleterious to the patient. The results of the present study demonstrate the reliability and technical simplicity of the lateral tongue technique. The procedure took place in two stages, after which the patient was fed for five postoperative days by nasogastric tube, thereby facilitating the healing process via non-interference with scar tissue. Out of the seven patients who received treatment, six successful closures were noted, and only one partial failure was observed, in all cases without any functional sequelae involving the tongue.
由于舌的中心位置、可动性及良好的血供，它是关闭腭裂瘘最适宜的供区。本回顾性研究的目的是重新评估首次于1884年报道并一直使用至20世纪70年代的侧舌瓣技术的疗效，之后该技术被用于颊部和唇部缺损重建的更复杂方法所取代，然而这些方法可能对患者有害。本研究结果证明了侧舌瓣技术的可靠性和技术简便性。手术分两期进行，术后通过鼻饲管给患者喂食5天，从而通过不干扰瘢痕组织促进愈合过程。在接受治疗的7例患者中，有6例成功关闭，仅观察到1例部分失败，所有病例均未出现涉及舌的任何功能后遗症。
