Application of free anterolateral thigh tissue flap in repairation of tissue defects in total or near-total glossectomy

中华显微外科杂志 Pub Date : 2020-02-25 DOI:10.3760/CMA.J.ISSN.1001-2036.2020.01.012

Sanke Zhang, Dandan Zhu, Wei He

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引用次数: 0

Abstract

Objective To evaluate the functional outcomes of the flaps repaired with free anterolateral thigh tissue flap in patients who had total or near-total glossectomy. Methods From March, 2015 to May, 2018, 15 patients with tongue cancer were treated by total or near total tongue resection. The free anterolateral thigh tissue flaps were used to repair the defects of tongues after radical tumor resection. The size of 15 flaps were 6 cm×10 cm to 8 cm×15 cm. Patient data were retrospectively analyzed. Patients were requested to conduct the postoperative reviews. Results All 15 flaps survived, while 1 occurred vascular crisis which was survived after the exploration and corresponding treatment. As the results of 12 to 48 (average 30) months followed-up by clinic visits, the mouth and chewing function recovered well after 6 months, while the swallowing and pronouncing function were poor. The motion of thigh donor area was good, without numbness, pain and discomfort. Conclusion The defect being left after total or near-total tongue resection is repaired and reconstructed with anterior lateral cutaneous tissue flap, which is able to partially restore the functions and shape of the tongue. Key words: Tongue cancer; Anteriolateral thigh tissue flap; Reconstruction; Microsurgical technique

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游离股前外侧组织瓣在全或近全舌切除术组织缺损修复中的应用

目的评价游离股前外侧组织瓣修复全或近全舌切除术后皮瓣的功能效果。方法2015年3月~ 2018年5月对15例舌癌患者行舌全切除或近全切除。应用游离股前外侧组织皮瓣修复舌部缺损。15个皮瓣的大小为6 cm×10 cm ~ 8 cm×15 cm。回顾性分析患者资料。患者被要求进行术后复查。结果15个皮瓣全部成活，1个皮瓣发生血管危象，经探查和相应处理后成活。随访12 ~ 48个月(平均30个月)，6个月后口腔和咀嚼功能恢复良好，吞咽和发音功能较差。大腿供区运动良好，无麻木、疼痛、不适。结论舌全切除或近全切除后留下的缺损，采用前外侧皮组织瓣修复重建，可部分恢复舌的功能和形态。关键词:舌癌;股前外侧组织瓣;重建;显微外科技术

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来源期刊

中华显微外科杂志

CiteScore

0.50

自引率

0.00%

发文量

6448

期刊介绍： Chinese Journal of Microsurgery was established in 1978, the predecessor of which is Microsurgery. Chinese Journal of Microsurgery is now indexed by WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 1.731 in 2017, ranking the third among all journal of comprehensive surgery. The journal covers clinical and basic studies in field of microsurgery. Articles with clinical interest and implications will be given preference.