Serin Merdan, Guray Seyda, Cebi Gulsum
Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkiye.
Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University Faculty of Medicine, Istanbul, Turkiye.
North Clin Istanb. 2024 Aug 7;11(4):349-352. doi: 10.14744/nci.2024.47529. eCollection 2024.
Tongue reconstruction results following partial glossectomy using primary closure and local tissue rearrangement were evaluated in this study.
7 patients diagnosed with tongue carcinoma were included. Tongue defects were reconstructed using local transposition, advancement and rotation of the remaining tongue tissue and closure of the defect. The patients were evaluated 6 months and 1 year following the surgery.
None of the patients had permanent speech impairments or major swallowing problems following the surgery despite 33% to 50% reduction in tongue length.
Unnecessary utilization of microvascular flaps for partial tongue reconstruction should be avoided in partial glossectomy patients in which reduction in tongue length is below 50%.
本研究评估了使用一期缝合和局部组织重排进行部分舌切除术后的舌重建效果。
纳入7例诊断为舌癌的患者。利用剩余舌组织的局部转位、推进和旋转以及缺损闭合来重建舌缺损。术后6个月和1年对患者进行评估。
尽管舌长度减少了33%至50%，但术后无一例患者出现永久性言语障碍或严重吞咽问题。
对于舌长度减少低于50%的部分舌切除术患者，应避免不必要地使用微血管皮瓣进行部分舌重建。
