Chen Wei-liang, Chen Zhong-wei, Yang Zhao-hui, Huang Zhi-quan, Li Jin-song, Zhang Bin, Wang Jian-guang
Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
J Craniomaxillofac Surg. 2009 Mar;37(2):91-5. doi: 10.1016/j.jcms.2008.10.012. Epub 2008 Dec 4.
This study presents an effective repair method for the hemimandibular and oral defects produced during the ablation of advanced oral malignant tumours.
Nine patients (five males and four females ranging in age from 18 to 74 years; mean age 51.3 years) with advanced oral malignant tumours were treated at our institution. Trapezius osteomyocutaneous island flaps (TOIFs) including the acromion, spine, and part of the medial scapular border were used to repair the hemimandibular and oral defects.
No major flap failure occurred. Donor-site problems have been minimal, with limited shoulder motion in all patients. The functional results in terms of speech, swallowing, and facial contour were satisfactory. The patients were followed for 6-24 months (average 15.2 months): six of them are alive with no disease, two alive with disease; and one has died of a lung metastasis.
The TOIF is large, simple, and reliable, and is preferred for reconstructing hemimandibular and oral defects.
本研究提出一种针对晚期口腔恶性肿瘤切除术中产生的半侧下颌骨及口腔缺损的有效修复方法。
我院收治了9例晚期口腔恶性肿瘤患者（5例男性，4例女性，年龄18至74岁；平均年龄51.3岁）。采用包含肩峰、肩胛冈及部分肩胛内侧缘的斜方肌骨皮岛状皮瓣（TOIFs）修复半侧下颌骨及口腔缺损。
未发生严重皮瓣坏死。供区问题极少，所有患者肩部活动受限。在言语、吞咽及面部外形方面的功能结果令人满意。对患者进行了6至24个月（平均15.2个月）的随访：其中6例无病存活，2例带瘤存活；1例死于肺转移。
TOIF体积大、操作简单且可靠，是修复半侧下颌骨及口腔缺损的首选方法。
