Wu Kun, Wu Hanjiang
Department of Stomatology, the Second Xiangya Hospital, Central South University. Changsha 410011, Hunan Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2025 Apr;34(2):157-161.
To evaluate the effect of sliding vermilion flap in angulus oris defect after buccal mucosal cancer ablation.
A total of 33 patients with buccal mucosal cancer who underwent buccal mucosal cancer radical surgery and resection of angulus oris, and reconstructed with free anterolateral thigh flap transfer and sliding vermilion flap were collected from January 2015 to April 2021 in Department of Oral and Maxillofacial Surgery at Second Xiangya Hospital. Thirty-three patients with buccal mucosal cancer admitted to Department of Oral and Maxillofacial Surgery, Second Xiangya Hospital of Central South University from January 2015 to April 2021 were selected. All patients underwent combined buccal-mandibulectomy and neck radical operation and resection of oral angle, and underwent anterolateral femoral free flap and lip red elastic flap reconstruction. The angulus oris outcome, aesthetics outcome, masticatory efficacy, swallowing and speech function were assessed by FACT-HN (The Functional Assessment of Cancer Therapy-Head and Neck). The mouth opening was measured and recorded. SPSS 19.0 software package was used for statistical analysis of the data.
The success rate of free flap transplantation was 100% in 33 patients. Although the aesthetics outcome was decreased at postoperative 1 year compared with that of preoperative duration (P＜0.001), there was no significant difference of angulus oris outcome at postoperative 1 year compared with that of preoperative duration (P＞0.05). Moreover, the masticatory function was significantly improved at postoperative 1 year compared with that of preoperative duration(P=0.004). However, there was no significant difference of speech and swallowing function at postoperative 1 year compared with that of preoperative duration (P＞0.05). The mouth opening was significantly improved at postoperative 1 year compared with that of preoperative duration(P＜0.05), and the satisfaction of mouth opening in these patients was 75.7%.
The use of sliding vermilion flap can ideally repair the angulus oris, and offer a novel method to reconstruct defect of angulus oris.
评估滑动红唇瓣在颊黏膜癌切除术后口角缺损修复中的效果。
收集2015年1月至2021年4月在中南大学湘雅二医院口腔颌面外科就诊的33例颊黏膜癌患者，这些患者均接受了颊黏膜癌根治术并切除口角，采用游离股前外侧皮瓣转移联合滑动红唇瓣进行修复重建。选取2015年1月至2021年4月在中南大学湘雅二医院口腔颌面外科住院的33例颊黏膜癌患者。所有患者均接受颊部-下颌骨联合切除术及颈部根治性手术并切除口角，并行股前外侧游离皮瓣及唇红弹性瓣重建术。采用FACT-HN（癌症治疗功能评估-头颈部）对口角修复效果、美学效果、咀嚼功能、吞咽及言语功能进行评估。测量并记录开口度。采用SPSS 19.0软件包对数据进行统计学分析。
33例患者游离皮瓣移植成功率为100%。术后1年美学效果较术前下降（P＜0.001），但术后1年口角修复效果与术前相比差异无统计学意义（P＞0.05）。此外，术后1年咀嚼功能较术前明显改善（P = 0.004）。然而，术后1年言语及吞咽功能与术前相比差异无统计学意义（P＞0.05）。术后1年开口度较术前明显改善（P＜0.05），患者对开口度的满意度为75.7%。
滑动红唇瓣可理想地修复口角缺损，为口角缺损修复提供了一种新的方法。
