癌症切除术后采用面动脉肌黏膜瓣修复口腔底缺损

Reconstruction of floor of mouth defects by the facial artery musculo-mucosal flap following cancer ablation.

作者信息

Ayad Tareck, Kolb Frédéric, De Monés Erwan, Mamelle Gérard, Temam Stéphane

机构信息

Department of Otolaryngology-Head and Neck Surgery, Institut Gustave Roussy, 39 rue Camille Desmoulins, 94805 Villejuif, France.

出版信息

Head Neck. 2008 Apr;30(4):437-45. doi: 10.1002/hed.20722.

DOI:10.1002/hed.20722

PMID:17972306

Abstract

BACKGROUND

The purpose of this study is to review our experience with the use of the facial artery musculo-mucosal (FAMM) flap for floor of mouth (FOM) reconstruction following cancer ablation to assess its reliability, associated complications, and functional results.

METHODS

This was a retrospective analysis of 61 FAMM flaps performed for FOM reconstruction from 1997 to 2006.

RESULTS

No total flap loss was observed. Fifteen cases of partial flap necrosis occurred, with 2 of them requiring revision surgery. We encountered 8 other complications, with 4 of them requiring revision surgery for an overall rate of revision surgery of 10% (6/61). The majority of patients resumed to a regular diet (85%), and speech was considered as functional and/or understandable by the surgeon in 93% of the patients. Dental restoration was successful for 83% (24/29) of the patients.

CONCLUSION

The FAMM flap is well suited for FOM reconstruction because it is reliable, has few significant complications, and allows preservation of oral function.

摘要

背景

本研究的目的是回顾我们使用面动脉肌黏膜（FAMM）瓣修复口腔癌切除术后口底（FOM）的经验，以评估其可靠性、相关并发症及功能效果。

方法

这是一项对1997年至2006年间进行的61例采用FAMM瓣修复FOM的病例的回顾性分析。

结果

未观察到皮瓣完全坏死的情况。发生了15例部分皮瓣坏死，其中2例需要进行修复手术。我们还遇到了8例其他并发症，其中4例需要进行修复手术，修复手术的总体发生率为10%（6/61）。大多数患者恢复了正常饮食（85%），93%的患者的语音被外科医生认为功能正常和/或可理解。83%（24/29）的患者牙齿修复成功。