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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.

DOI:10.2147/IMCRJ.S369297
PMID:36033341
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9416530/
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/9530/9416530/13eaa1c40ae2/IMCRJ-15-431-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9530/9416530/adb201e6fdb2/IMCRJ-15-431-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9530/9416530/13eaa1c40ae2/IMCRJ-15-431-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9530/9416530/adb201e6fdb2/IMCRJ-15-431-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9530/9416530/13eaa1c40ae2/IMCRJ-15-431-g0002.jpg

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本文引用的文献

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J Craniofac Surg. 2022 May 1;33(3):906-909. doi: 10.1097/SCS.0000000000008423. Epub 2021 Dec 14.
2
Submental Artery Island Flap in Oral Cavity Reconstruction. An Observational, Retrospective Two-centre Study.颏下动脉岛状皮瓣在口腔重建中的应用。一项观察性、回顾性双中心研究。
Int Arch Otorhinolaryngol. 2021 Jan;25(1):e71-e76. doi: 10.1055/s-0040-1709115. Epub 2020 Apr 24.
3
Marginal Mandibulectomy Defect Reconstruction with Pectoralis Major Myocutaneous (PMMC) Flap in Cases of Carcinoma Buccal Mucosa: Experience from a Tertiary Cancer Institute.
胸大肌肌皮瓣修复颊黏膜癌患者下颌骨边缘性切除术后缺损:来自三级癌症研究所的经验
Indian J Surg Oncol. 2020 Sep;11(3):482-485. doi: 10.1007/s13193-020-01120-8. Epub 2020 Jun 14.
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Modified submental flap reconstruction for verrucous-papillary lesions of the oral cavity.改良颏下皮瓣重建术治疗口腔疣状乳头状病变
Indian J Cancer. 2020 Oct-Dec;57(4):496-497. doi: 10.4103/ijc.IJC_505_19.
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Submental island flap vs free tissue transfer in oral cavity reconstruction: Systematic review and meta-analysis.口腔重建中颏下岛状皮瓣与游离组织移植的比较:系统评价与荟萃分析。
Head Neck. 2020 Aug;42(8):2155-2164. doi: 10.1002/hed.26121. Epub 2020 Feb 24.
6
Assessment of Masticatory Function in Oral Cancer Patients with Mandibulectomy Followed by Pectoralis Major Myocutaneous Flap Reconstruction.下颌骨切除术后采用胸大肌肌皮瓣重建的口腔癌患者咀嚼功能评估
Indian J Surg Oncol. 2019 Dec;10(4):620-623. doi: 10.1007/s13193-019-00955-0. Epub 2019 Aug 11.
7
Survival and functional outcomes of patients who underwent facial-submental artery island flap reconstruction after oral cavity or HPV-negative oropharyngeal squamous cell carcinoma ablation.口腔或 HPV 阴性口咽鳞癌消融术后行面动脉颏下岛状皮瓣重建患者的生存和功能结局。
J Stomatol Oral Maxillofac Surg. 2020 Sep;121(4):383-389. doi: 10.1016/j.jormas.2019.11.003. Epub 2019 Nov 26.
8
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Oral Oncol. 2019 Dec;99:104446. doi: 10.1016/j.oraloncology.2019.104446. Epub 2019 Oct 24.
9
Submental island flap reconstruction for carcinoma of the oral cavity: Experience in 30 cases.颏下岛状皮瓣修复口腔癌:30例经验
World J Otorhinolaryngol Head Neck Surg. 2019 Mar 11;5(2):65-70. doi: 10.1016/j.wjorl.2018.03.007. eCollection 2019 Jun.
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Submental island flap versus radial forearm free flap for oral tongue reconstruction: a comparison of complications and functional outcomes.颏下岛状皮瓣与桡侧前臂游离皮瓣用于口腔舌重建的比较:并发症及功能结果对比
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