[Application of sliding vermilion flap in angulus oris defect after buccal mucosa cancer ablation].

Q4 Medicine

上海口腔医学 Pub Date : 2025-04-01

Kun Wu, Hanjiang Wu

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引用次数: 0

Abstract

Purpose: To evaluate the effect of sliding vermilion flap in angulus oris defect after buccal mucosal cancer ablation.

Methods: A total of 33 patients with buccal mucosal cancer who underwent buccal mucosal cancer radical surgery and resection of angulus oris, and reconstructed with free anterolateral thigh flap transfer and sliding vermilion flap were collected from January 2015 to April 2021 in Department of Oral and Maxillofacial Surgery at Second Xiangya Hospital. Thirty-three patients with buccal mucosal cancer admitted to Department of Oral and Maxillofacial Surgery, Second Xiangya Hospital of Central South University from January 2015 to April 2021 were selected. All patients underwent combined buccal-mandibulectomy and neck radical operation and resection of oral angle, and underwent anterolateral femoral free flap and lip red elastic flap reconstruction. The angulus oris outcome, aesthetics outcome, masticatory efficacy, swallowing and speech function were assessed by FACT-HN (The Functional Assessment of Cancer Therapy-Head and Neck). The mouth opening was measured and recorded. SPSS 19.0 software package was used for statistical analysis of the data.

Results: The success rate of free flap transplantation was 100% in 33 patients. Although the aesthetics outcome was decreased at postoperative 1 year compared with that of preoperative duration (P＜0.001), there was no significant difference of angulus oris outcome at postoperative 1 year compared with that of preoperative duration (P＞0.05). Moreover, the masticatory function was significantly improved at postoperative 1 year compared with that of preoperative duration(P=0.004). However, there was no significant difference of speech and swallowing function at postoperative 1 year compared with that of preoperative duration (P＞0.05). The mouth opening was significantly improved at postoperative 1 year compared with that of preoperative duration(P＜0.05), and the satisfaction of mouth opening in these patients was 75.7%.

Conclusions: The use of sliding vermilion flap can ideally repair the angulus oris, and offer a novel method to reconstruct defect of angulus oris.

本刊更多论文

[朱红色滑动皮瓣在口腔黏膜癌消融后口角缺损中的应用]。

目的：探讨滑动朱红色皮瓣修复口腔黏膜癌消融后口角缺损的效果。方法：收集湘雅第二医院口腔颌面外科2015年1月至2021年4月行口腔黏膜癌根治性手术及口角切除、游离股前外侧皮瓣转移及滑动朱红色皮瓣重建的口腔黏膜癌患者33例。选取2015年1月至2021年4月中南大学湘雅第二医院口腔颌面外科收治的口腔黏膜癌患者33例。所有患者均行颊下颌骨联合切除颈部根治术及口角切除，并行股前外侧游离皮瓣及唇红色弹性皮瓣重建。采用FACT-HN （The Functional Assessment of Cancer Therapy-Head and Neck）评估患者的口角预后、美学预后、咀嚼疗效、吞咽和言语功能。测量并记录口腔开口。采用SPSS 19.0软件包对数据进行统计分析。结果：33例游离皮瓣移植成功率100%。虽然术后1年的美学结果与术前相比有所下降（P<0.001），但术后1年的口角结果与术前相比无显著差异（P< 0.05）。术后1年咀嚼功能较术前明显改善（P=0.004）。但术后1年言语和吞咽功能与术前比较差异无统计学意义（P < 0.05）。术后1年患者的口腔张开度较术前明显改善（P<0.05），患者的口腔张开满意度为75.7%。结论：滑动朱红色皮瓣能较好地修复口角缺损，为修复口角缺损提供了一种新的方法。

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来源期刊

上海口腔医学 Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

5299

期刊介绍： "Shanghai Journal of Stomatology (SJS)" is a comprehensive academic journal of stomatology directed by Shanghai Jiao Tong University and sponsored by the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine. The main columns include basic research, clinical research, column articles, clinical summaries, reviews, academic lectures, etc., which are suitable for reference by clinicians, scientific researchers and teaching personnel at all levels engaged in oral medicine.