Song D J, Li Z, Zhou X, Zhang Y X, Peng X W, Zhou B, Lyu C L, Peng W, Wang X, Ou Y
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Apr 7;52(4):278-282. doi: 10.3760/cma.j.issn.1673-0860.2017.04.008.
To investigate the application of free medial thigh chimeric myocutaneous perforator flap in the reconstruction of tongue defect after radical resection of tongue carcinoma. From June 2013 to November 2015, 17 cases with tongue carcinoma underwent radical resection and tongue and mouth floor defects after surgery were reconstructed with medial thigh chimeric myocutaneous perforator flaps at the same stage. These 17 cases included tongue carcinoma on lingual margin (=9), ventral tongue (=7) and mouth floor (=1). Appearance and functional results were evaluated with follow-up. Medial thigh chimeric myocutaneous perforator flap was (9.0±0.3) cm in length, (4.5±0.3) cm in width , and (1.8±0.4) cm in thickness. The length of pedicle was (7.4±0.6) cm. All of the 17 flaps survived uneventfully, and the donor sites were closed directly in all cases. All patients were followed up for 10-28 months with satisfied esthetic and functional results in reconstructed tongue. Aside from linear scar in the donor sites, the functions of thighs were not affected. No local recurrence occurred. The free medial thigh chimeric myocutaneous perforator flap is an ideal choice to reconstruct the tongue and mouth floor defect after radical resection of tongue carcinoma.
探讨游离股内侧嵌合肌皮穿支皮瓣在舌癌根治术后舌缺损修复中的应用。2013年6月至2015年11月，17例舌癌患者行根治性切除，同期采用股内侧嵌合肌皮穿支皮瓣修复术后舌及口底缺损。这17例患者中包括舌缘舌癌9例、舌腹舌癌7例、口底癌1例。随访观察外观及功能恢复情况。股内侧嵌合肌皮穿支皮瓣长（9.0±0.3）cm，宽（4.5±0.3）cm，厚（1.8±0.4）cm。蒂长（7.4±0.6）cm。17例皮瓣均顺利成活，供区均直接缝合。所有患者随访10～28个月，再造舌外形及功能恢复满意。供区除线性瘢痕外，大腿功能未受影响。无局部复发。游离股内侧嵌合肌皮穿支皮瓣是舌癌根治术后修复舌及口底缺损的理想选择。
