Liao Gui-Qing, Su Yu-Xiong, Liu Hai-Chao, Li Jin, Fahmha Numan, Ou De-Ming, Wang Qin
Department of Oral and Maxillofacial Surgery, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510015, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2008 Jul;24(4):253-6.
To investigate the clinical application of free forearm flap in the functional hemitongue reconstruction.
From July 2002 to November 2006, 40 patients with tongue cancer underwent hemiglossectomy and primary hemitongue reconstruction with free forearm flaps. In some cases, the lateral antebrachial cutaneous nerves of the flaps were anastomosed with the lingual nerve to restore the flap sensation.
All patients recovered uneventfully after surgery with no morbidity in the donor site. All free flaps survived. The average follow-up period was 2 years and 6 months. The aesthetic and functional results were both satisfactory. The swallowing and speech function were almost normal. The flap sensation was partially restored.
Good functional hemitongue reconstruction can be achieved with free forearm flaps.
探讨游离前臂皮瓣在功能性半舌重建中的临床应用。
2002年7月至2006年11月，40例舌癌患者行半舌切除术并采用游离前臂皮瓣进行一期半舌重建。部分病例将皮瓣的前臂外侧皮神经与舌神经吻合以恢复皮瓣感觉。
所有患者术后恢复顺利，供区无并发症。所有游离皮瓣均存活。平均随访时间为2年6个月。美学和功能效果均令人满意。吞咽和言语功能基本正常。皮瓣感觉部分恢复。
游离前臂皮瓣可实现良好的功能性半舌重建。
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