五点八线解剖瓣设计用于精确的半舌再造。
"Five-point eight-line" anatomic flap design for precise hemitongue reconstruction.
机构信息
Department of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou, China.
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
出版信息
Head Neck. 2019 May;41(5):1359-1366. doi: 10.1002/hed.25571. Epub 2018 Dec 17.
BACKGROUND
Reconstruction of hemiglossectomy defects requires careful flap design to avoid adverse functional and aesthetic outcomes.
METHODS
Hemitongue specimens were obtained from minipigs to study the three-dimensional anatomy and to define anatomic landmarks for precise measurements of flap requirement. The concept developed in animal models was then applied to hemiglossectomy reconstruction in clinical practice. Sixty-one patients were randomly enrolled into the following two groups: a "five-point eight-line segment" (FIPELS) flap design group (28 patients) and a conventional group (33 patients). Functional and aesthetic outcomes were compared between the two groups.
RESULTS
All flaps designed with the FIPELS technique matched the hemiglossectomy defects without the need for flap trimming, thus reducing the operating time (P = .03). Swallowing functions, speech intelligibility, and aesthetic outcomes were superior in the FIPELS group than that in the conventional group (P < .05).
CONCLUSIONS
The FIPELS flap design for hemiglossectomy reconstruction yields improved functional and aesthetic outcomes compared to a conventional flap design.
背景
半舌切除缺损的重建需要精心设计皮瓣，以避免不良的功能和美学效果。
方法
从小猪身上获取半舌标本，研究其三维解剖结构，并确定解剖标志，以精确测量皮瓣需求。然后将在动物模型中开发的概念应用于临床半舌切除重建。将 61 名患者随机分为两组：“五点八线段”（FIPELS）皮瓣设计组（28 名患者）和常规组（33 名患者）。比较两组的功能和美学结果。
结果
所有采用 FIPELS 技术设计的皮瓣均与半舌切除缺损相匹配，无需皮瓣修整，从而缩短了手术时间（P = .03）。FIPELS 组的吞咽功能、言语清晰度和美学效果均优于常规组（P < .05）。
结论
与传统皮瓣设计相比，FIPELS 皮瓣设计用于半舌切除重建可获得更好的功能和美学效果。
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