Murakami R, Tanaka K, Kobayashi K, Fujii T, Sakito T, Furukawa M, Kobayashi T, Shigeno K
Department of Plastic Surgery, Nagasaki University School of Medicine and National Nagasaki Central Hospital, Japan.
J Reconstr Microsurg. 1998 Jan;14(1):49-55. doi: 10.1055/s-2007-1006901.
The authors report the use of free groin flaps to close intraoral defects in 24 patients following ablative tongue cancer surgery. The lateral thin portion of the flap was used for tongue reconstruction, and the deepithelialized medial thick portion for filling the mandibular defect and for covering the important vessels in the neck. In lean patients, if the medial deepithelialized portion was too thin for adequate coverage, the proximal sartorius muscle was included to prevent postoperative orocervical fistula. The advantages of the groin flap in reconstructing the tongue and oral floor after hemiglossectomy include the following: (1) a suitable amount of tissue is available for both the tongue and oral floor; (2) the important vessels in the neck may be protected with the flap; (3) the proximal sartorius muscle can be included with the flap, if necessary; (4) donor-site morbidity is less than with other flaps; and (5) flap elevation can be done concurrently with the hemiglossectomy and radical neck dissection.
作者报告了在24例舌癌切除术后患者中使用游离腹股沟皮瓣关闭口腔内缺损的情况。皮瓣的外侧薄部分用于舌重建，去上皮的内侧厚部分用于填充下颌骨缺损并覆盖颈部重要血管。在消瘦患者中，如果内侧去上皮部分过薄不足以提供充分覆盖，则纳入近端缝匠肌以预防术后口颈瘘。腹股沟皮瓣在半舌切除术后重建舌和口底的优点包括：（1）有适量组织可用于舌和口底；（2）皮瓣可保护颈部重要血管；（3）必要时皮瓣可纳入近端缝匠肌；（4）供区并发症少于其他皮瓣；（5）皮瓣掀起可与半舌切除术和根治性颈清扫术同时进行。
