Liao Guiqing, Su Yuxiong, Zhang Jinming, Hou Jinsong, Chen Yiyang, Li Ma
Department of Oral and Maxillofacial Surgery, Guanghua College of Stomatology, Sun Yat-sen University, Guangzhou, PR China.
J Laryngol Otol. 2006 Mar;120(3):205-13. doi: 10.1017/S002221510600017X.
Reconstruction of the tongue after glossectomy is a primary objective in the process of improving the life quality of patients suffering from tongue cancer. We developed a new method of surgical reconstruction of the tongue after hemiglossectomy, with reinnervated rectus abdominis musculoperitoneal flaps. The rectus abdominis musculoperitoneal flap consisted of the rectus muscle, posterior rectus sheath, peritoneum, the 10th, 11th and 12th intercostal nerves, and the deep inferior epigastric artery and veins. Five patients underwent immediate reconstruction of the tongue with rectus abdominis musculoperitoneal flaps after hemiglossectomy. The intercostal nerves were anastomosed to the descending branch of the hypoglossal nerve. All transplanted flaps survived. The peritoneum was replaced by squamous epithelium eight weeks after surgery. During the follow-up period, the contour and function of the reconstructed tongues was satisfactory. Our experience indicates that reconstruction of the tongue with rectus abdominis musculoperitoneal flaps after hemiglossectomy is a suitable, cosmetically acceptable method.
舌癌切除术后舌体的重建是提高舌癌患者生活质量过程中的首要目标。我们研发了一种半舌切除术后舌体手术重建的新方法，即采用带神经支配的腹直肌肌腹膜瓣。腹直肌肌腹膜瓣由腹直肌、腹直肌后鞘、腹膜、第10、11和12肋间神经以及腹壁下深动静脉组成。5例患者在半舌切除术后立即采用腹直肌肌腹膜瓣进行舌体重建。将肋间神经与舌下神经降支进行吻合。所有移植瓣均存活。术后8周，腹膜被鳞状上皮取代。在随访期间，重建舌的外形和功能令人满意。我们的经验表明，半舌切除术后采用腹直肌肌腹膜瓣重建舌体是一种合适的、美容效果可接受的方法。
