Lo Torto Federico, Ribuffo Diego, Manrique Oscar J, Ciudad Pedro, Mouchammed Agko, Maruccia Michele, Nicoli Fabio, Turriziani Gianmarco, Chen Hung-Chi
Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung City, Taiwan.
J Craniofac Surg. 2020 Jun;31(4):916-918. doi: 10.1097/SCS.0000000000006274.
Free ileocolon flap is a reliable technique allowing simultaneous restoration of swallowing and speech. The aim is to report our 6-year experience in a single center.
Thirty-seven patients treated between 2010 and 2015 were included in the study. Swallowing and speech function were evaluated in 27 patients with a 7-point and 5-point Likert scale, respectively. Moreover, 12 of them consented to voice spectrum analysis (VSA).
Complications noted were: aspiration (3), esophagocutaneous fistula (2), and stricture (1). Seven patients experienced self-limited diarrhea. Regarding swallowing function, 77.8% scored ≥5 on Likert scale whereas speech Likert scale showed excellent results (score >12) in 74%. VSA demonstrated mean phonation time of 10.75 seconds, mean frequency of 131 Hz and mean dynamic range of 56 dB.
In experienced hands, the ileocolon flap is safe and effective, particularly in patients with long-life expectancy, providing good swallowing and speech function without further procedures/prostheses.
游离回结肠瓣是一种可靠的技术，可同时恢复吞咽和言语功能。目的是报告我们在单一中心的6年经验。
本研究纳入了2010年至2015年间接受治疗的37例患者。分别用7分制和5分制Likert量表对27例患者的吞咽和言语功能进行评估。此外，其中12例患者同意进行嗓音频谱分析（VSA）。
观察到的并发症有：误吸（3例）、食管皮肤瘘（2例）和狭窄（1例）。7例患者出现自限性腹泻。关于吞咽功能，77.8%的患者在Likert量表上得分≥5，而言语Likert量表显示74%的患者结果优异（得分>12）。VSA显示平均发声时间为10.75秒，平均频率为131Hz，平均动态范围为56dB。
在经验丰富的医生手中，回结肠瓣是安全有效的，尤其对于预期寿命较长的患者，无需进一步手术/假体即可提供良好的吞咽和言语功能。
