Seikaly Hadi, Rieger Jana, O'Connell Daniel, Ansari Khalid, Alqahtani Khalid, Harris Jeffrey
Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, Alberta, Canada.
Head Neck. 2009 Feb;31(2):213-9. doi: 10.1002/hed.20953.
Head and neck oncologists are often confronted with the difficult challenge of balancing cancer cure with the preservation of function when deciding the patient's best treatment protocol. This task is especially difficult in cancer of the base of tongue. The purpose of this manuscript is to describe the beavertail modification of the radial forearm-free flap in base of tongue reconstruction.
Thirty-one consecutive patients treated for base of tongue cancer with primary surgery were followed prospectively. The technique of the beavertail modification is described. Swallowing and speech function were assessed preoperatively and postoperatively.
All the flaps survived. Thirty (97%) patients started consuming oral diet within 1 year, and all had normal speech intelligibility.
The beavertail modification of the radial forearm arm flap seems to provide the reconstructive elements that allow patients with large base of tongue extirpations to develop functional swallowing and speech production postoperatively.
头颈肿瘤学家在决定患者的最佳治疗方案时，常常面临着在癌症治愈与功能保留之间取得平衡这一艰巨挑战。这项任务在舌根癌治疗中尤为困难。本文的目的是描述用于舌根重建的桡侧前臂游离皮瓣的改良鱼尾瓣技术。
对31例接受原发性手术治疗的舌根癌患者进行前瞻性随访。描述了改良鱼尾瓣技术。术前和术后评估吞咽和言语功能。
所有皮瓣均存活。30例（97%）患者在1年内开始经口进食，且言语清晰度均正常。
桡侧前臂皮瓣的改良鱼尾瓣似乎提供了重建要素，使接受大体积舌根切除术的患者术后能够实现功能性吞咽和言语功能。
