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采用敏感的股前外侧肌和股外侧肌游离皮瓣对晚期舌癌进行消融及活动舌重建。

Ablation of advanced tongue cancer and mobile tongue reconstruction by using a sensitive anterolateral thigh and vastus lateralis muscle free flap.

作者信息

Zamfirescu D, Gheorghiță C, Slăvescu D, Frunză A, Lascăr I

机构信息

Clinic of Plastic Surgery and Reconstructive Microsurgery, "Carol Davila" Military Emergency Hospital, Bucharest, Romania.

Clinic of Plastic Surgery and Reconstructive Microsurgery, Bucharest Emergency Hospital, Bucharest, Romania ; "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.

出版信息

J Med Life. 2015 Jan-Mar;8(1):64-7.

PMID:25914742
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4397523/
Abstract

BACKGROUND

Successful tongue reconstruction after total glossectomy for advanced tongue or base of tongue cancer should restore swallowing, speech function, and cosmesis.

METHODS

The anterior lateral thigh flap sensitive myocutaneous (ALTF) with vastus lateralis muscle was used to reconstruct the oral defect in a patient undergoing total glossectomy with laryngeal preservation for T4 tongue cancer.

RESULTS

Good functional outcomes, measured by independent feeding, speech and swallowing, were achieved.

CONCLUSIONS

The anterolateral thigh myocutaneous flap for total tongue reconstruction creates a free neotongue tip with an adequate volume, producing acceptable swallowing function and cosmesis. The reconstruction with free flaps is a feasible method of restoring the functional outcomes in speech and deglutition among patients who undergo total glossectomy with laryngeal preservation.

摘要

背景

对于晚期舌癌或舌根癌患者，全舌切除术后成功的舌重建应恢复吞咽、言语功能及美观。

方法

采用带股外侧肌的股前外侧皮瓣敏感肌皮瓣（ALTF），为一名因T4期舌癌行保留喉全舌切除术的患者重建口腔缺损。

结果

通过独立进食、言语和吞咽评估，取得了良好的功能结果。

结论

用于全舌重建的股前外侧肌皮瓣可形成体积足够的游离新舌尖，产生可接受的吞咽功能和美观效果。游离皮瓣重建是一种可行的方法，可恢复保留喉全舌切除术患者的言语和吞咽功能结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/482e5ad595bf/JMedLife-08-64-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/f99cbac76463/JMedLife-08-64-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/b22df8770f19/JMedLife-08-64-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/3f40d4ffca97/JMedLife-08-64-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/1e16d5dada1c/JMedLife-08-64-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/1c9cd80f1c06/JMedLife-08-64-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/dd2a5c7570a7/JMedLife-08-64-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/482e5ad595bf/JMedLife-08-64-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/f99cbac76463/JMedLife-08-64-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/b22df8770f19/JMedLife-08-64-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/3f40d4ffca97/JMedLife-08-64-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/1e16d5dada1c/JMedLife-08-64-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/1c9cd80f1c06/JMedLife-08-64-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/dd2a5c7570a7/JMedLife-08-64-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56fa/4397523/482e5ad595bf/JMedLife-08-64-g007.jpg

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Plast Reconstr Surg. 2002 Jul;110(1):39-46. doi: 10.1097/00006534-200207000-00009.
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Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps.
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Plast Reconstr Surg. 2002 Jun;109(7):2219-26; discussion 2227-30. doi: 10.1097/00006534-200206000-00007.
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Technique and strategy in anterolateral thigh perforator flap surgery, based on an analysis of 15 complete and partial failures in 439 cases.基于对439例中15例完全和部分失败病例的分析，探讨股前外侧穿支皮瓣手术的技术与策略。
Plast Reconstr Surg. 2002 Jun;109(7):2211-6; discussion 2217-8. doi: 10.1097/00006534-200206000-00005.
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A new way of elevating the anterolateral thigh flap.
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