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颏下皮瓣修复因癌症行半舌切除术后的舌部缺损:病例系列报道

Tongue Reconstruction After Hemiglossectomy Due to Cancer by Submental Flap: A Case Series.

作者信息

Nguyen Hong Loi, Tran Nhat Huy, Nguyen Van Khanh

机构信息

Odonto-Stomatology Center, Hue Central Hospital, Hue City, 530000, Vietnam.

Oncology Center, Hue Central Hospital, Hue City, 530000, Vietnam.

出版信息

Int Med Case Rep J. 2022 Aug 22;15:431-435. doi: 10.2147/IMCRJ.S369297. eCollection 2022.

Abstract

We report three clinical cases using a submental flap to reconstruct the half-tongue defects after tongue cancer surgery at Hue Central Hospital (Hue city, Vietnam). The size of the flap ranged 30-60mm. The time to take flap ranged 50-60 minutes. All three patients did not have liquid accumulation, wound infection and bleeding after surgery; the flap survived well. All patients were taken the nasogastric tube out after ten days and discharged after two weeks. Postoperative functional (speech, swallowing) and tongue aesthetic assessments (symmetry) were good. These cases highlight that the submental flap is a choice for patients with flaws in the tongue. It ensures both functional and aesthetic for the regenerative tongue and donor site.

摘要

我们报告了越南顺化市顺化中央医院使用颏下皮瓣修复舌癌手术后半舌缺损的三例临床病例。皮瓣大小为30 - 60毫米。取瓣时间为50 - 60分钟。所有三名患者术后均未出现积液、伤口感染和出血情况;皮瓣存活良好。所有患者术后十天拔除鼻胃管,两周后出院。术后功能(言语、吞咽)和舌部美学评估(对称性)良好。这些病例表明,颏下皮瓣是舌部有缺陷患者的一种选择。它能确保再生舌和供区的功能及美观。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9530/9416530/adb201e6fdb2/IMCRJ-15-431-g0001.jpg

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