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部分舌切除术后采用局部皮瓣进行舌重建的结果评估。

Evaluation of the results of tongue reconstruction using local flaps following partial glossectomy.

作者信息

Serin Merdan, Guray Seyda, Cebi Gulsum

机构信息

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.

出版信息

North Clin Istanb. 2024 Aug 7;11(4):349-352. doi: 10.14744/nci.2024.47529. eCollection 2024.

Abstract

OBJECTIVE

Tongue reconstruction results following partial glossectomy using primary closure and local tissue rearrangement were evaluated in this study.

METHODS

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.

RESULTS

None of the patients had permanent speech impairments or major swallowing problems following the surgery despite 33% to 50% reduction in tongue length.

CONCLUSION

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%.

摘要

目的

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。

方法

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。

结果

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。

结论

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。

相似文献

2
Gastro-omental free flap for reconstruction of tongue defects.胃网膜游离皮瓣在舌缺损重建中的应用。
Oral Oncol. 2018 Aug;83:134-139. doi: 10.1016/j.oraloncology.2018.06.023. Epub 2018 Jun 23.

本文引用的文献

9
Tongue Flap Reconstruction in Carcinoma of Oral Cavity: An Institutional Experience.口腔癌舌瓣重建:一项机构经验
J Maxillofac Oral Surg. 2019 Sep;18(3):428-431. doi: 10.1007/s12663-018-1123-2. Epub 2018 May 15.

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