Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Department of Otorhinolaryngology, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
Oral Maxillofac Surg. 2024 Mar;28(1):125-130. doi: 10.1007/s10006-023-01137-7. Epub 2023 Jan 11.
In this study, the swallowing status of patients with tongue cancer undergone tongue reconstruction using radial forearm free flaps (RFFF) and submental flaps were compared.
A total of 26 patients with tongue cancer undergone tongue resection were randomly treated by tongue reconstruction with either submental flap or RFFF approach. Swallowing status of the patients was investigated using fiberoptic endoscopic evaluation of swallowing (FEES) by measurement of pharyngeal residue and penetration scales.
The pharyngeal residue scale in vallecula and pyriform sinus and the average of vallecula and pyriform sinus on days 10 and 30 post-operation as well as penetration scale at the same time showed no significant difference between two groups. However, the time to start oral feeding was significantly reduced in the submental group compared to the free flap group (P = 0.031). A positive Pearson correlation was found between the size of oral tongue and base of tongue resection and some of swallowing parameters.
Since there was no significant difference between submental and free flap respected to swallowing disorder, the submental flap is prior to free flap due to lower cost and hospitalization and less complication after tongue reconstruction.
本研究比较了应用游离前臂桡侧皮瓣（RFFF）和颏下皮瓣进行舌再造的舌癌患者的吞咽状况。
将 26 例接受舌切除术的舌癌患者随机分为颏下皮瓣组或 RFFF 组进行舌再造。采用纤维内镜吞咽评估（FEES）测量咽部残留和渗透量表来评估患者的吞咽状况。
术后第 10 天和第 30 天的 vallecula 和梨状窦咽部残留量表以及 vallecula 和梨状窦的平均咽部残留量表以及同一时间的渗透量表在两组间无显著差异。然而，与游离皮瓣组相比，颏下组开始口服喂养的时间显著缩短（P = 0.031）。舌体和舌根切除的大小与某些吞咽参数之间存在正皮尔逊相关关系。
由于颏下皮瓣和游离皮瓣在吞咽障碍方面没有显著差异，因此由于成本和住院费用较低，并发症较少，颏下皮瓣优先于游离皮瓣用于舌再造。
