带蒂岛状鼻唇沟皮瓣经下颌骨下隧道用于舌重建术
Pedicled Islanded Nasolabial Flap Tunneled Under Mandible for Tongue Reconstruction.
作者信息
Shah Gunjan H, Misra Gyanendra, Meena Asha
机构信息
GCS Medical College and Hospital, Ahmedabad, India.
出版信息
J Maxillofac Oral Surg. 2021 Mar;20(1):100-104. doi: 10.1007/s12663-019-01296-9. Epub 2019 Oct 10.
BACKGROUND
Nasolabial flap is reliable flap in the reconstruction of oral defects over a period of time. Still there is scanty literature available of using this flap for reconstruction of isolated defects of tongue. We carried out this study in our patients to assess the role of pedicled nasolabial flap in reconstruction of isolated tongue defects.
METHODS
In total, 11 patients with T1 and T2 tongue cancer were selected for the study. The functional improvement in the form of speech and swallowing was evaluated postoperatively.
RESULTS
The flap was successfully taken in all patients except for marginal or tip loss. This is a locally available flap with minimal operating time and does not require microvascular skills. The results of speech and swallowing after reconstruction were comparable.
CONCLUSION
Nasolabial flap is an excellent locally available flap for the reconstruction of the anterior two-thirds of the tongue and with very minor, if any postoperative cosmetic defect.
背景
鼻唇瓣是一段时间以来用于口腔缺损重建的可靠皮瓣。然而，关于使用该皮瓣重建孤立性舌缺损的文献仍然很少。我们对患者进行了这项研究，以评估带蒂鼻唇瓣在孤立性舌缺损重建中的作用。
方法
总共选择了11例T1和T2期舌癌患者进行研究。术后评估语音和吞咽功能改善情况。
结果
除边缘或尖端缺失外，所有患者皮瓣均成功获取。这是一种局部可用的皮瓣，手术时间最短，且不需要微血管技术。重建后的语音和吞咽结果相当。
结论
鼻唇瓣是用于重建舌前三分之二的优秀局部可用皮瓣，术后美容缺陷极小（若有）。
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