面-颏下动脉岛状肌皮瓣用于修复癌症切除术后口底缺损的可行性。
The feasibility of facial-submental artery island myocutaneous flaps for reconstructing defects of the oral floor following cancer ablation.
作者信息
You Yun-hua, Chen Wei-liang, Wang Yue-ping, Liang Jun
机构信息
Department of Oral and Maxillofacial Surgery, the Fifth Affiliated Hospital of Sun Yat-sen University, Zhuhai, China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jun;109(6):e12-6. doi: 10.1016/j.tripleo.2010.02.004.
OBJECTIVE
The aim of the present study was to evaluate the feasibility of clinically applying facial-submental artery island flaps on primary reconstruction of oral floor defects following cancer ablation.
STUDY DESIGN
Facial-submental artery island flaps were used to repair defects in the floor of the mouth after cancer ablation in 7 patients (5 men and 2 women; age range, 43-64 years; average age, 51.2 years). Two patients were classified as T(1)N(0)M(0), and 5 were classified as T(2)N(0)M(0). The skin paddles ranged in size from 4.0 x 10.0 cm to 5.0 x 11.0 cm.
RESULTS
Six flaps survived completely, and the success rate was therefore 86% (6 of 7). The remaining flap showed minimal partial necrosis. All of the patients were followed for 6 to 25 months. The speech and swallowing functions following surgery were well recovered, and the patients were satisfied with their facial appearance.
CONCLUSION
Facial-submental artery island myocutaneous flaps are suitable for repairing small and medium-sized defects of the oral floor.
目的
本研究旨在评估临床上应用面-颏下动脉岛状皮瓣对癌症切除术后口腔底缺损进行一期修复的可行性。
研究设计
采用面-颏下动脉岛状皮瓣修复7例（5例男性，2例女性；年龄范围43 - 64岁，平均年龄51.2岁）癌症切除术后口腔底缺损。2例患者分类为T(1)N(0)M(0)，5例患者分类为T(2)N(0)M(0)。皮瓣面积范围为4.0×10.0 cm至5.0×11.0 cm。
结果
6个皮瓣完全存活，成功率为86%（7个中的6个）。其余皮瓣出现轻微部分坏死。所有患者随访6至25个月。术后言语和吞咽功能恢复良好，患者对其面部外观满意。
结论
面-颏下动脉岛状肌皮瓣适用于修复口腔底的中小型缺损。
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