Chien C Y, Su C Y, Hwang C F, Chuang H C, Jeng S F, Chen Y C
Department of Otolaryngology, Chang Gung Memorial Hospital at Kaohsiung, 123 Ta-Pei Road, Niao-Song Hsiang, Kaohsiung County 833, Taiwan, ROC.
Eur J Surg Oncol. 2006 Apr;32(3):353-7. doi: 10.1016/j.ejso.2005.12.010. Epub 2006 Feb 7.
To evaluate the functional outcomes of patients who underwent total or nearly total glossectomy for advanced tongue or base of tongue cancer.
We used the radial forearm free flap (RFFF), anterior lateral thigh flap (ALTF) or fibular osteocutaneous flap (FOCF) to reconstruct the oral defect after radical resection in 39 patients undergoing total or nearly total glossectomy with laryngeal preservation.
Good functional outcomes, measured by independent feeding, speech and swallowing were achieved in 35, 36 and 35 patients, respectively. The cumulative 4-year survival rates were 63.8% for tongue cancer and 42.9% for base of tongue cancer.
Reconstruction with free flaps is a feasible method to restore the functional outcomes in speech and deglutition among patients who undergo total or nearly total glossectomy with laryngeal preservation.
评估因晚期舌癌或舌根癌接受全舌或近全舌切除术患者的功能预后。
我们采用桡侧前臂游离皮瓣（RFFF）、股前外侧皮瓣（ALTF）或腓骨骨皮瓣（FOCF），对39例接受全舌或近全舌切除术并保留喉功能的患者在根治性切除术后重建口腔缺损。
分别有35例、36例和35例患者在独立进食、言语和吞咽功能方面取得了良好的功能预后。舌癌的4年累积生存率为63.8%，舌根癌为42.9%。
对于接受全舌或近全舌切除术并保留喉功能的患者，采用游离皮瓣重建是恢复言语和吞咽功能预后的一种可行方法。
