Šín Petr, Hokynková Alica, Rotschein Pavel, Pejčoch Radek, Nártová Lucie
Department of Burns and Plastic Surgery, University Hospital Brno, Czech Republic Jihlavská 20, 625 00 Brno, Czech Republic.
Faculty of Medicine, Masaryk University Brno, Czech Republic Kamenice 5, 625 00 Brno, Czech Republic.
Case Rep Otolaryngol. 2023 Oct 9;2023:6637271. doi: 10.1155/2023/6637271. eCollection 2023.
Serratus anterior muscle free flap is widely used in numerous indicated reconstructions. Only a few studies have dealt with the use of this flap in tongue reconstruction.
We present a case series of 7 patients with carcinoma of the tongue who underwent hemiglossectomy followed by immediate reconstruction with serratus anterior muscle free flap between January 2017 and December 2019 at the University Hospital Brno. The aim of this study was to evaluate safety and efficiency of the reconstruction as well as the donor site morbidity.
There was not a single case of flap failure observed and the donor site healed completely in all cases. The functional outcome (tongue mobility, phonation, and deglutition) depended on the severity of the primary oncological disease and health status of the patient.
The serratus anterior muscle free flap represents an alternative option for reconstruction of the tongue.
前锯肌游离皮瓣广泛应用于多种适应证的重建手术。仅有少数研究涉及该皮瓣在舌重建中的应用。
我们报道了2017年1月至2019年12月期间在布尔诺大学医院接受半舌切除术并立即采用前锯肌游离皮瓣重建的7例舌癌患者的病例系列。本研究的目的是评估重建的安全性和有效性以及供区并发症。
未观察到一例皮瓣失败，所有病例的供区均完全愈合。功能结果（舌活动度、发声和吞咽）取决于原发性肿瘤疾病的严重程度和患者的健康状况。
前锯肌游离皮瓣是舌重建的一种替代选择。
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