Mikaelian D O
Laryngoscope. 1984 Jan;94(1):34-7. doi: 10.1002/lary.5540940108.
Subtotal or total glossectomies performed for malignancies or other afflictions of the tongue are fraught with great disabling problems postoperatively. Recently the introduction of myocutaneous flaps has aroused new interest in surgical procedures to reconstruct the tongue following major resections. A new approach to functional reconstruction of the tongue is presented utilizing the sternocleidomastoid myocutaneous flap based superiorly. Neurorrhaphy between the hypoglossal nerve on the resected side of the tongue and the nerve to the sternocleidomastoid muscle is easily achieved without under tension as these nerves are in close proximity. In addition, the sternocleidomastoid myocutaneous flap is an ideal flap in tongue reconstruction as there is no fat between the skin and muscle and it resembles the bulkiness of the tongue muscle itself. A patient with a carcinoma of the tongue treated with subtotal resection and reconstruction using the above principles demonstrated full tongue movements 11 months postoperatively.
因舌部恶性肿瘤或其他疾病而进行的部分或全舌切除术，术后会带来严重的致残问题。最近，肌皮瓣的引入引发了人们对舌大部切除术后重建手术的新兴趣。本文介绍一种利用胸锁乳突肌肌皮瓣的新方法来进行舌部功能重建，该肌皮瓣以胸锁乳突肌上部为蒂。由于舌切除侧的舌下神经与胸锁乳突肌神经位置相近，二者之间的神经缝合术在无张力的情况下很容易完成。此外，胸锁乳突肌肌皮瓣是舌重建的理想皮瓣，因为皮肤与肌肉之间没有脂肪，且其外形与舌肌本身的厚度相似。一名舌癌患者接受了部分切除并按照上述原则进行重建，术后11个月时舌运动完全恢复正常。
