The Sublingual Gland Flap for Oral Reconstruction: Insights From a Single Institutional Experience.

IF 1.6 Q4 ONCOLOGY
International Journal of Surgical Oncology Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.1155/2024/7386967
Agata Wieczorkiewicz, Joanna Kuczera, Andrei Hramyka, Krzysztof Śliwiński, Jakub Bargiel, Grażyna Wyszyńska-Pawelec, Michał Gontarz
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引用次数: 0

Abstract

Background: Following ablative surgery, the reconstruction of oral cavity defects is essential to ensure optimal function and aesthetically acceptable outcomes. The purpose of this study was to retrospectively analyze the effectiveness and complication rates of the sublingual gland flap (SGF) in oral soft tissue reconstruction. The procedure for harvesting SGF and the strengths and limitations of the flap are discussed. Materials and Methods: The study group consisted of 13 patients suffering from oncological diseases who underwent soft tissue reconstruction with SGF. The patient's medical charts were evaluated based on histopathological aspects, postoperative complications, and outcomes. Reconstruction of the floor of the mouth was performed in 8 patients (61.5%) and lower gingiva in 5 patients (38.5%), respectively. Results: Complete epithelialization with closure of the defect was achieved within an average of 2 weeks. The observation period ranged from 1 to 33 months, with an average duration of 11.5 months. Partial flap necrosis and ranula occurred in one patient (7.7%). Furthermore, postoperative bleeding was observed in one patient (7.7%), and wound dehiscence and abscess formation were noted in another (7.7%). Locoregional recurrence of the cancer was observed in one case (7.7%). Conclusions: The SGF is effective for achieving successful reconstruction of small- and medium-sized defects in the lower gingiva and floor of the mouth. The complication rate is relatively low.

用于口腔重建的舌下腺皮瓣:一家机构的经验启示。
背景:消融手术后,口腔缺损的重建对于确保最佳功能和美观效果至关重要。本研究旨在回顾性分析舌下腺皮瓣(SGF)在口腔软组织重建中的有效性和并发症发生率。本研究讨论了舌下腺皮瓣的采集过程以及该皮瓣的优势和局限性。材料和方法:研究组包括 13 名接受 SGF 软组织重建术的肿瘤患者。根据组织病理学方面、术后并发症和疗效对患者的病历进行了评估。8名患者(61.5%)进行了口底重建,5名患者(38.5%)进行了下牙龈重建。手术结果平均 2 周内缺损上皮完全闭合。观察期从 1 个月到 33 个月不等,平均为 11.5 个月。一名患者(7.7%)出现皮瓣部分坏死和溃疡。此外,一名患者(7.7%)出现术后出血,另一名患者(7.7%)出现伤口开裂和脓肿形成。有一名患者(7.7%)观察到癌症局部复发。结论SGF可成功重建下牙龈和口底的中小型缺损。并发症发生率相对较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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