Hsiao Hung-Tao, Leu Yi-Shing, Lin Chang-Ching
Division of Plastic Surgery, Department of Surgery, Mackay Memorial Hospital and Mackay Junior College of Nursing, Taipei, Taiwan.
J Reconstr Microsurg. 2003 Apr;19(3):137-42. doi: 10.1055/s-2003-39824.
Thirty-three patients with squamous cell carcinoma of the anteriolateral part of the tongue underwent a 50 percent resection of the tongue. The surgical defect was reconstructed with a microvascular radial forearm flap. All the flaps were especially designed to have a narrow waist, shaped like an omega in cross-section, thus allowing for a free tongue tip, and avoiding suturing the edge of the flap to the soft palate and tongue base. Sixteen patients were evaluated for swallowing and speech function at least 6 months following reconstruction. With this technique, the majority of the patients had nearly normal deglutition, although their speech was still unsatisfactory. However, the speech function in this series was better than that in other reported series.
33例舌前外侧部鳞状细胞癌患者接受了50%的舌切除术。手术缺损采用桡侧前臂游离皮瓣微血管重建。所有皮瓣均特别设计为具有狭窄的腰部，横截面呈ω形，从而使舌尖能够自由活动，并避免将皮瓣边缘缝合到软腭和舌根。16例患者在重建后至少6个月接受了吞咽和言语功能评估。采用这种技术，大多数患者吞咽功能接近正常，尽管他们的言语功能仍不尽人意。然而，该系列患者的言语功能比其他已报道系列的要好。
