Peter F. Gearing, Maxim Devine, Felix Sim, Lauren Davies, Anand Ramakrishnan
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引用次数: 0
摘要
舌部是口腔恶性肿瘤最常见的部位，手术切除是主要的治疗方法。舌癌切除有显著的功能影响。理想的重建应能恢复语音清晰度，促进吞咽液体和固体而无明显的吞咽困难，且发病率最低。我们的目的是回顾和综合发表的舌重建方法的结果，以形成一个有用的临床治疗算法。方法根据系统评价和meta分析的首选报告项目进行系统的电子检索。Medline （OVID）、Embase （OVID）、PubMed和Cochrane Central Register of Controlled Trials （Central）检索了2024年10月12日之前发表的所有研究。会议摘要、病例报告、病例系列和综述论文被排除在外。提取定量数据并制成表格。结果筛选摘要1268篇，全文321篇，共纳入113篇。多种游离和局部皮瓣重建方法，皮肤移植技术和组织替代物被确定。股骨前外侧游离皮瓣（ALT）和前臂桡侧游离皮瓣（RFFF）是最常见的重建方法。结论提出了一种治疗舌恶性缺损的算法，便于手术计划和术中重建决策。普洛斯彼罗注册号：CRD420223818875。
Reconstruction of Tongue Malignancy Defects: A Systematic Review and Treatment Algorithm
Introduction
The tongue is the most common site of oral malignancies, with surgical resection the mainstay of treatment. Tongue cancer resections have significant functional impacts. Ideal reconstruction would restore speech intelligibility, facilitate swallowing of liquids and solids without significant dysphagia, and have minimal morbidity. We aimed to review and synthesize published outcomes of tongue reconstructive methods into a useful clinical treatment algorithm.
Methods
A systematic electronic search was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Medline (OVID), Embase (OVID), PubMed, and the Cochrane Central Register of Controlled Trials (CENTRAL) were reviewed for all studies published prior to October 12th, 2024. Conference abstracts, case reports, case series, and review papers were excluded. Quantitative data were extracted and tabulated.
Results
After screening 1268 abstracts and 321 full-text articles, 113 papers were included. Multiple free and locoregional flap reconstructive methods, skin grafting techniques, and tissue substitutes were identified. The anterolateral thigh (ALT) free flap and radial forearm free flap (RFFF) were the most common reconstructive methods.
Conclusions
A treatment algorithm is proposed to facilitate structured surgical planning and intra-operative reconstructive decision-making for tongue malignancy defects.
期刊介绍：
Microsurgery is an international and interdisciplinary publication of original contributions concerning surgery under microscopic magnification. Microsurgery publishes clinical studies, research papers, invited articles, relevant reviews, and other scholarly works from all related fields including orthopaedic surgery, otolaryngology, pediatric surgery, plastic surgery, urology, and vascular surgery.
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