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病例报告:半侧舌切除术后采用旋髂浅动脉穿支皮瓣进行舌重建

Case Report: Superficial Circumflex Iliac Artery Perforator Flap for Tongue Reconstruction Following the Hemiglossectomy.

作者信息

Fang Yihong, Ouyang Qiming, Zheng Zhi, Wang Jin

机构信息

Department of Oral Maxillofacial Surgery, Fujian Medical University Union Hospital, Fuzhou, China.

出版信息

Front Surg. 2021 Nov 4;8:692331. doi: 10.3389/fsurg.2021.692331. eCollection 2021.

Abstract

Therapeutic evaluation of applying superficial circumflex iliac artery perforator (SCIP) flap in tongue reconstruction after hemiglossectomy. We retrospectively collected a total number of 14 patients who received SCIP flap reconstruction for tongue defects at the Fujian Medical University affiliated Union Hospital, between November 2016 and November 2020. We evaluated the clinical features of the flap, analyzed the postoperative functions and esthetic effects after 6 months of the tongue reconstruction. All the SCIP flaps survived successfully after the operation, the recipient site tongue bodies were well reconstructed 6 months after the surgery. Patient speech and swallowing functions were well recovered during the follow-up. The scars in the donor site were concealed with limited numbness. With the advantages of the hidden donor site and aesthetic benefits, the SCIP flap is a reliable option for the reconstruction of the tongue defect after hemiglossectomy.

摘要

应用旋髂浅动脉穿支(SCIP)皮瓣修复半舌切除术后舌缺损的疗效评估。我们回顾性收集了2016年11月至2020年11月期间在福建医科大学附属协和医院接受SCIP皮瓣修复舌缺损的14例患者。我们评估了皮瓣的临床特征,分析了舌重建术后6个月的功能及美学效果。术后所有SCIP皮瓣均顺利成活,术后6个月受区舌体修复良好。随访期间患者言语及吞咽功能恢复良好。供区瘢痕隐蔽,麻木感轻微。SCIP皮瓣具有供区隐蔽及美学优势,是半舌切除术后舌缺损修复的可靠选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c2c/8599122/9fd55bae7837/fsurg-08-692331-g0001.jpg

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