Sharma Vikas, Pandey Sandhya, Gandhi Ajeet Kumar, Pandey Arun, Rastogi Madhup, Sethi Rohini, Hadi Rahat, Hussain Nuzhat
Department of Surgical Oncology, Dr RMLIMS, Lucknow, 226010 India.
Present Address: Faculty Apartment, Dr RMLIMS, Flat number 806, Vibhuti Khand, Gomti Nagar, Lucknow, 226010 India.
Indian J Surg Oncol. 2021 Mar;12(1):94-99. doi: 10.1007/s13193-020-01214-3. Epub 2020 Sep 17.
Reconstruction following excision for tongue cancer carries important functional consequences. Island nasolabial flap (NLF) is robust and oncologically safe and has a good functional outcome, identical to free flap reconstruction. We retrospectively analyzed the data of 11 tongue cancer patients operated between January 2019 and August 2019. Surgical resection and neck dissection followed by immediate reconstruction by island NLF were done. Post-operative functional outcome assessed using the University of Washington Quality of Life Questionnaire. Age of patients ranged between 39 and 70 years. All patients had either T2 or T3 tongue cancer. No incidence of flap necrosis noted in any patient. On an average, all were discharged between 3rd and 5th post-operative days. Cosmetic and functional outcomes were satisfactory in all patients. Island nasolabial has an excellent reach and can reach any part of the oral cavity, even to the contralateral side and base of the tongue. It has an excellent post-operative tongue function, almost equivalent to free flap. Hence, it should be considered locoregional flap of choice for tongue reconstruction.
舌癌切除术后的重建会带来重要的功能影响。岛状鼻唇瓣（NLF）可靠且在肿瘤学上安全，功能效果良好，与游离瓣重建相同。我们回顾性分析了2019年1月至2019年8月间接受手术的11例舌癌患者的数据。进行了手术切除和颈部清扫，随后采用岛状NLF立即进行重建。使用华盛顿大学生活质量问卷评估术后功能结果。患者年龄在39岁至70岁之间。所有患者均患有T2或T3期舌癌。所有患者均未发生皮瓣坏死。平均而言，所有患者均在术后第3天至第5天出院。所有患者的美容和功能结果均令人满意。岛状鼻唇瓣的覆盖范围极佳，可到达口腔的任何部位，甚至对侧和舌根。其术后舌功能极佳，几乎与游离瓣相当。因此，它应被视为舌重建的局部首选皮瓣。
