采用股前外侧皮瓣进行功能性舌再造。
Functional tongue reconstruction with the anterolateral thigh flap.
机构信息
School of Stomatology, China Medical University, No, 117, Nanjing North Street, Heping District, Shenyang, Liaoning 110002, PR China.
出版信息
World J Surg Oncol. 2013 Nov 25;11:303. doi: 10.1186/1477-7819-11-303.
BACKGROUND
A retrospective study was conducted to evaluate the advantages of anterolateral thigh (ALT) flap in tongue reconstruction.
METHOD
From September 2008 to February 2012, patients receiving ALT flap tongue reconstruction were included in the study. Patients undergoing ALT flap were compared with those undergoing similar surgery with radial forearm flap (RFF). The medical records of the included patients were reviewed, and a questionnaire was used to assess acceptability of the surgery.
RESULTS
All flaps (both ALT and RFF) were successful In the ALT group, most patients were satisfied with the appearance of the reconstructed tongue and the intelligibility of their speech, and there were fewer complications with this technique compared with the RFF.
CONCLUSION
The ALT flap is an ideal method for tongue reconstruction. The thickness and volume of the ALT flap can be adjusted based on the individual extent of the defect, and it can not only provide bulk but also ensure mobility, and it has other advantages also, including a long pedicle and low donor site morbidity.
背景
本回顾性研究旨在评估股前外侧皮瓣在舌重建中的优势。
方法
自 2008 年 9 月至 2012 年 2 月，我们纳入了接受股前外侧皮瓣舌重建的患者。我们将接受股前外侧皮瓣的患者与接受桡侧前臂皮瓣（RFF）相似手术的患者进行比较。我们对纳入患者的病历进行了回顾，并使用问卷评估了手术的可接受性。
结果
所有皮瓣（股前外侧皮瓣和 RFF）均成功。在股前外侧皮瓣组中，大多数患者对重建舌的外观和言语清晰度感到满意，与 RFF 相比，该技术的并发症更少。
结论
股前外侧皮瓣是舌重建的理想方法。股前外侧皮瓣的厚度和体积可根据个体缺损程度进行调整，它不仅可以提供体积，还可以保证运动能力，而且还具有其他优点，包括较长的蒂和较低的供区发病率。
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