Yang Xu-Dong, Zhao Su-Feng, Wang Yu-Xin, Li Wei, Zhang Qian, Hong Xiao-Wei, Wen Jian-Min, Hu Qin-Gang
Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No. 30 Zhong Yang Rd, Nanjing, 210008, People's Republic of China.
Aesthetic Plast Surg. 2015 Aug;39(4):562-9. doi: 10.1007/s00266-015-0512-x. Epub 2015 Jun 5.
This study evaluated the safety and effectiveness of the extended lateral arm free flap (ELAFF) for repair of partial tongue defects after radical resection of tongue cancer.
The study included nine consecutive patients who underwent repair of a partial tongue defect with an ELAFF after radical resection of tongue cancer from November 2010 to December 2013. Lesions were at the tip or margin of the tongue. Details of the reconstructive surgery, donor-site and recipient-site morbidity, and functional and esthetic outcomes were evaluated during a minimum of 12 months follow-up. Patient-reported Visual Analog Scale (VAS) scores on a scale of 0 (minimum satisfaction) to 10 (maximum satisfaction) were used to evaluate esthetic outcomes.
All patients were followed up for 12 months (median 24 months). The overall survival rate was 88 % (8/9). The donor site was closed primarily in all patients. The most frequent donor-site morbidity was a broad scar. Poor functional outcomes were associated with postoperative adjuvant radiotherapy. The shape and function of the reconstructed tongue were satisfactory. VAS scores (mean ± SD) for patient satisfaction with recipient-site and donor-site esthetics were 6.92 ± 1.70 and 7.33 ± 2.01, respectively.
The ELAFF is a safe and effective option for repair of partial tongue defects after radical resection of tongue cancer.
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本研究评估了外侧臂游离皮瓣延长术（ELAFF）修复舌癌根治术后部分舌缺损的安全性和有效性。
本研究纳入了2010年11月至2013年12月期间连续9例行舌癌根治术后采用ELAFF修复部分舌缺损的患者。病变位于舌尖或舌边缘。在至少12个月的随访期间，评估了重建手术的细节、供区和受区的发病率以及功能和美学效果。采用患者报告的视觉模拟量表（VAS）评分（范围为0分（最低满意度）至10分（最高满意度））来评估美学效果。
所有患者均随访12个月（中位随访时间为24个月）。总生存率为88%（8/9）。所有患者的供区均一期缝合。最常见的供区并发症是较宽的瘢痕。功能恢复不佳与术后辅助放疗有关。重建舌的形状和功能令人满意。患者对受区和供区美学满意度的VAS评分（均值±标准差）分别为6.92±1.70和7.33±2.01。
ELAFF是舌癌根治术后修复部分舌缺损的一种安全有效的选择。
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