Shaikh Mohsin, Kumar Kanav, Kannan Rajan, Doctor Azmat, Singh Amulya, Pradhan Sultan A
Department of Surgical Oncology, Prince Aly Khan Hospital Mumbai, Mumbai, India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):2895-2900. doi: 10.1007/s12070-023-03858-3. Epub 2023 May 22.
Tongue defects following resection of cancers, have a major effect on speech and swallowing, impairing the quality of life. Free flaps such as the free radial artery forearm flap and anterolateral thigh flap have been ideal for the reconstruction of such defects depending upon the volume of tissue loss. Local flaps such as the submental flap and pectoralis major myocutaneous flap serve as an alternative in decreasing morbidity and improving functional outcomes. Surgical outcomes associated with submental flaps used in the reconstruction of tongue defects were evaluated in our study. This is a retrospective analysis of 545 patients, where the submental flap was used for the repair of tongue defects for cancer resections. Oncological safety was studied in 375 patients with a median follow-up of 48 months. 140 patients were studied for their functional outcomes using the parameters, adapted from the University of Washington- Quality of Life questionnaire. Complete flap loss was seen in 15(2.75%) patients while 22(4.03%) patients had partial loss of flap. Locoregional Recurrences, second primary, and distant metastases were noted in 91 of the 375 patients studied. The mean score for swallowing, speech, and taste were 72,71, and 69 respectively. The submental flap is an effective and reliable alternative for the reconstruction of tongue defects.
The online version contains supplementary material available at 10.1007/s12070-023-03858-3.
癌症切除术后的舌部缺损对言语和吞咽有重大影响，会损害生活质量。根据组织缺损的大小，游离桡动脉前臂皮瓣和股前外侧皮瓣等游离皮瓣一直是修复此类缺损的理想选择。颏下皮瓣和胸大肌肌皮瓣等局部皮瓣可作为一种替代方法，以降低发病率并改善功能结果。在我们的研究中评估了用于舌部缺损重建的颏下皮瓣的手术效果。这是一项对545例患者的回顾性分析，其中颏下皮瓣用于修复癌症切除术后的舌部缺损。对375例患者进行了肿瘤学安全性研究，中位随访时间为48个月。使用源自华盛顿大学生活质量问卷的参数对140例患者的功能结果进行了研究。15例（2.75%）患者出现皮瓣完全丢失，22例（4.03%）患者出现皮瓣部分丢失。在375例研究患者中，有91例出现局部复发、第二原发肿瘤和远处转移。吞咽、言语和味觉的平均得分分别为72、71和69。颏下皮瓣是舌部缺损重建的一种有效且可靠的替代方法。
在线版本包含可在10.1007/s12070-023-03858-3获取的补充材料。
