Cheng N, Shou B, Zheng M, Huang A
Department of Plastic Surgery, Nanjing University School of Medicine, Gulou Hospital, China.
Ann Plast Surg. 1994 Aug;33(2):136-41. doi: 10.1097/00000637-199408000-00003.
The tensor fascia lata musculocutaneous flap has been successfully transferred for coverage of the groin, abdomen, and thigh regions. After free transfer, it has demonstrated both muscle reinnervation and sensibility. The current study presents anatomical dissections and five clinical cases of innervated tensor fascia lata musculocutaneous flap transfer for immediate reconstruction of subtotal glossectomy defects after carcinoma extirpation. Clinical evaluation 10 to 24 months postoperatively with oral pressure measurement, electromyography, cineradiography, and speech analysis demonstrated adequate bulk and both sensory and motor function. Speech and swallowing were superior to those in patients whose defects were repaired by primary closure and pectoralis major musculocutaneous flaps. Tensor fascia lata reconstructions showed superior tongue-palate and tongue-pharynx contact and improved oral functional rehabilitation. We believe the tensor fascia lata musculocutaneous flap is ideal for reconstruction of total or partial glossectomy defects because of its appropriate bulk and reinnervation.
阔筋膜张肌肌皮瓣已成功用于覆盖腹股沟、腹部和大腿区域。游离移植后，它展现出了肌肉再支配和感觉功能。本研究展示了阔筋膜张肌肌皮瓣带神经移植的解剖学研究及5例临床病例，用于在癌切除术后即刻重建舌次全切除缺损。术后10至24个月进行的临床评估，包括口腔压力测量、肌电图、动态放射成像和语音分析，结果显示有足够的组织量以及感觉和运动功能。语音和吞咽功能优于那些缺损通过一期缝合和胸大肌肌皮瓣修复的患者。阔筋膜张肌重建显示出更好的舌-腭和舌-咽接触，并改善了口腔功能康复。我们认为阔筋膜张肌肌皮瓣因其合适的组织量和再支配功能，是重建全舌或部分舌切除缺损的理想选择。
