口腔疾病防治 ›› 2016, Vol. 24 ›› Issue (7): 386-389.DOI: 10.12016/j.issn.2096-1456.2016.07.002

• 专栏论著 • 上一篇    下一篇

锁骨上动脉岛状皮瓣修复舌鳞癌术后缺损的临床研究

吕晓智(),邵婷如,赵萌   

  1. 南方医科大学南方医院口腔—头颈外科, 南方医科大学口腔医学院, 广东 广州(510515)
  • 收稿日期:2016-01-20 修回日期:2016-02-05 出版日期:2016-07-20 发布日期:2016-07-20
  • 通讯作者: 吕晓智
  • 基金资助:
    国家自然科学基金面上项目(81472536);广东省科技计划项目(2014A020212440);南方医院新技术新业务课题(2013015)

Reconstruction of defects with supraclavicular artery island flap following ablation of tongue squamous cell carcinoma

Xiao-zhi LÜ(),Ting-ru SHAO,Meng ZHAO   

  1. Department of Oral & Head and Neck Surgery of Nanfang Hospital, Affiliated Stomatological Hospital of Southern Medical University, Guangzhou 510515, China
  • Received:2016-01-20 Revised:2016-02-05 Online:2016-07-20 Published:2016-07-20
  • Contact: Xiao-zhi Lü

摘要:

目的 探讨锁骨上动脉岛状皮瓣修复舌鳞癌术后缺损的临床效果。方法 对12例行锁骨上动脉岛状皮瓣修复的舌鳞癌术后缺损患者进行回顾性分析,并对其术后外形及语音、吞咽功能恢复情况进行评估。结果 12例术后行锁骨上动脉岛状皮瓣即刻修复舌鳞癌患者,11例皮瓣完全成活,1例皮瓣部分坏死,经短期换药后愈合,供区伤口均一期愈合,无明显的术后并发症,患者术区外形及功能均恢复满意。结论 锁骨上动脉岛状皮瓣具有手术制取简单,供区并发症小,厚薄适中等优点,为舌鳞癌患者术后缺损的修复提供了一个新的选择。

关键词: 舌鳞癌, 锁骨上动脉岛状皮瓣, 重建, 生活质量, 并发症

Abstract:

Objective To explore the clinical results of reconstruction the defects with the supraclavicular artery island flap (SCAIF) following ablation of tongue squamous cell carcinoma (TSCC).Methods Retrospective analysis was carried out with twelve patients with TSCC who underwent the reconstruction of postoperative defects with SCAIF. Outcome evaluation including location of the defect, flap size and viability, postoperative appearance and function, and complications was evaluated.Results 11 of 12 flaps survived and healed by first intention. Partial skin flap necrosis occurred in 1 patient. All donor site incisions healed by first intention. There was no obvious complication in any patient. The patients underwent followed-up for 6 months and satisfied with their shape and oral function after operation. Conclusion The SCAIF is safe and reliable with minimal donor-site morbidity, which can potentially restore the tongue function and improve quality of life in patients with TSCC.

Key words: Tongue squamous cell carcinoma, Supraclavicular artery island flap, Reconstructions, Quality of life, Complication

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