Pradhan Pradeep, Samal Swagatika, Samal Dillip Kumar, Preetam Chappity, Parida Pradipta Kumar
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India.
Department of Pathology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, 751019, India.
World J Otorhinolaryngol Head Neck Surg. 2019 Mar 11;5(2):65-70. doi: 10.1016/j.wjorl.2018.03.007. eCollection 2019 Jun.
The submental flap can be utilized for soft tissue reconstruction in oral cavity malignancies because due to its close approximation to the surgical site, fewer donor site morbidity and the cost effectiveness of the procedure.
A total of 30 patients with squamous cell carcinoma of the oral cavity were included in the study from July 2012 to August 2015 in a tertiary care referral hospital. Patients with clinical staging I/II/III (T1/T2/T3, N0) oral malignancy were included in the study. Patients with nodal metastasis irrespective of the stage of disease and patients with chronic medical illness/revision cases were excluded from the study. Submental island flap was utilized for the reconstruction of the soft tissue defect in each patient. Patients were followed at monthly interval till 6 months in the postoperative period.
The buccal mucosa (12 patients), tongue (10 patients) and floor of mouth (8 patients) were the subsites in the oral cavity. Partial and complete skin necrosis was found in 4 and 2 patients respectively. Postoperative chemoradiation was required in 5 patients. None of the patients had loco regional recurrence till 6 months of follow-up.
The submental island flap is considered to be the reliable option for the soft tissue reconstruction in oral cancer because of dependent vascular pedicle, less donor site morbidity and the lower cost compared to the free flaps, often preferred in patients with a lower socioeconomic condition.
颏下皮瓣可用于口腔恶性肿瘤的软组织重建，因为其与手术部位接近，供区并发症较少且手术成本效益高。
2012年7月至2015年8月，一家三级转诊医院共纳入30例口腔鳞状细胞癌患者。纳入临床分期为I/II/III期（T1/T2/T3，N0）的口腔恶性肿瘤患者。有淋巴结转移的患者（无论疾病分期如何）以及患有慢性疾病/翻修病例的患者被排除在研究之外。对每位患者采用颏下岛状皮瓣修复软组织缺损。术后每月对患者进行随访，直至术后6个月。
口腔内的亚部位包括颊黏膜（12例患者）、舌（10例患者）和口底（8例患者）。分别有4例和2例患者出现部分和完全皮肤坏死。5例患者需要术后放化疗。在随访6个月时，所有患者均未出现局部区域复发。
颏下岛状皮瓣被认为是口腔癌软组织重建的可靠选择，因为其血管蒂可靠，供区并发症较少，与游离皮瓣相比成本较低，在社会经济条件较差的患者中通常更受青睐。
