Wang Yu-Li, Peng Xin, Luo Yi
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2011 Jan;46(1):27-30.
To evaluate the quality-of-life outcomes in patients with tongue cancer following reconstruction with free forearm flap.
Quality-of-life (QOL) outcomes of 112 patients of tongue reconstruction with free forearm flap were assessed using University of Washington head and neck QOL questionnaire (UW-QOL). The QOL outcomes of the patients with different defect range and site were also compared.
The overall mean QOL scores of the 112 patients was 959.6, which reached about 80% (960/1200) of the overall score. The QOL scores of the patients with defects not more than 1/2 tongue (more than 1/3 tongue) were significantly higher than those with defects more than 1/2 tongue (P < 0.05). There was no significant difference between the QOL scores of the patients with and without tongue base defect (P > 0.05).
Free forearm flap is a good choice for tongue reconstruction and more suitable for the reconstruction of the defects not more than 1/2 tongue (more than 1/3 tongue).
评估游离前臂皮瓣重建术后舌癌患者的生活质量结局。
采用华盛顿大学头颈生活质量问卷（UW-QOL）对112例行游离前臂皮瓣舌重建术的患者的生活质量结局进行评估。同时比较不同缺损范围和部位患者的生活质量结局。
112例患者的总体平均生活质量得分为959.6，约占总分的80%（960/1200）。缺损不超过1/2舌（超过1/3舌）的患者生活质量得分显著高于缺损超过1/2舌的患者（P<0.05）。有或无舌根缺损患者的生活质量得分差异无统计学意义（P>0.05）。
游离前臂皮瓣是舌重建的良好选择，更适合于重建不超过1/2舌（超过1/3舌）的缺损。
