Wang Meng, Liu Fengzhi, Li Dongpo, Wei Yubo, Zhang Xiaoyan, Wang Shuangyi, Wang Lin
Department of Stomatology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China; School of Stomatology, Qingdao University, Qingdao, China.
Department of Stomatology, the Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
J Craniomaxillofac Surg. 2025 Sep;53(9):1656-1661. doi: 10.1016/j.jcms.2025.06.013. Epub 2025 Jul 17.
The objective of this study was to evaluate the advantages of using sublingual gland flap (SGF) repair compared to primary suturing after resection of tongue cancer. From January 2020 to December 2023, 119 patients with stage T1-T2 tongue cancer underwent surgical resection. Among them, 31 patients received sublingual gland flap reconstruction, while the other 88 patients underwent primary suture. Patients were double-blinded and divided into two groups: the "one-stage suture" group and the "sublingual gland flap" Group. Postoperative follow-up at 6 months assessed the time required for recovery of speech, swallowing, tongue movement, and morbidity at the donor site. SPSS 26.0 software was used for statistical analysis. No significant differences were found between the groups in speech intelligibility (Control: P = 0.908; Acceptable: P = 0.881). However, swallowing ability recovery was significantly better in the SGF group compared to the primary suture group (MTF classification good: P = 0.028; Acceptable: P = 0.001). SGF repair provides tissue volume to the tongue and preserves its movement, speech intelligibility, and swallowing ability. This study also acknowledges limitations, including sample size imbalance and short follow-up time, which are discussed in detail. Further improvements are needed to the SGF to reduce complications and improve patient quality of life, and this work lays the foundation for these improvements.
本研究的目的是评估与舌癌切除术后一期缝合相比，使用舌下腺瓣（SGF）修复的优势。2020年1月至2023年12月，119例T1 - T2期舌癌患者接受了手术切除。其中，31例患者接受了舌下腺瓣重建，而另外88例患者接受了一期缝合。患者被双盲并分为两组：“一期缝合”组和“舌下腺瓣”组。术后6个月随访评估了言语、吞咽、舌运动恢复所需时间以及供区的发病率。使用SPSS 26.0软件进行统计分析。两组在言语清晰度方面无显著差异（正常：P = 0.908；可接受：P = 0.881）。然而，与一期缝合组相比，SGF组的吞咽能力恢复明显更好（MTF分级良好：P = 0.028；可接受：P = 0.001）。SGF修复为舌头提供了组织量，并保留了其运动、言语清晰度和吞咽能力。本研究也承认存在局限性，包括样本量不均衡和随访时间短，对此进行了详细讨论。需要对SGF进行进一步改进以减少并发症并提高患者生活质量，这项工作为此类改进奠定了基础。
