Lam David K, Cheng Allen, Berty Karim E, Schmidt Brian L
Department of Oral and Maxillofacial Surgery, University of California, San Francisco, CA, USA.
J Oral Maxillofac Surg. 2012 Oct;70(10):2440-4. doi: 10.1016/j.joms.2011.11.005. Epub 2012 Jan 24.
Posterior tongue defects present a unique reconstructive challenge. The various reconstructive options available for treating the defect created by a posterior hemiglossectomy frequently result in a distorted tongue and functional impairment. This paper describes a novel sliding anterior hemitongue flap to allow reconstruction of moderate resection defects (i.e. for T1-T2 tongue squamous cell carcinomas) of the posterior tongue. By mobilizing the anterior tongue, near normal mobility and tongue length are maintained. This surgical technique may be performed alone intraorally or in combination with a neck dissection.
舌后部缺损带来了独特的重建挑战。用于治疗后半侧舌切除术造成的缺损的各种重建选择常常导致舌头变形和功能受损。本文描述了一种新型的滑动前半舌瓣，用于重建舌后部的中度切除缺损（即用于T1 - T2期舌鳞状细胞癌）。通过移动前舌部，可维持接近正常的活动度和舌长度。这种手术技术可单独在口腔内进行，也可与颈部清扫术联合进行。
