Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (2): 84-87.doi: 10.12016/j.issn.2096-1456.2020.02.004

• Cinical Study • Previous Articles     Next Articles

Comparison of the clinical effect of a facial-submental artery island flap in reconstruction after resection of oral cavity and oropharyngeal squamous cell carcinoma

YUAN Kaifang,CHEN Weiliang(),ZHOU Bin,ZHANG Daming   

  1. Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat-sen University, Guangzhou 510000, China
  • Received:2019-04-18 Revised:2019-09-01 Online:2020-02-20 Published:2020-02-25
  • Contact: Weiliang CHEN E-mail:drchen@vip.163.com

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Abstract:

Objective To compare the clinical effect of the reconstruction of defects of the surgical area with the facial-submental artery island flap (FSAIF) after resection of oral cavity squamous cell carcinoma (OC-SCC) and oropharyngeal squamous cell carcinoma (OP-SCC). Methods A total of 203 cases of oral cavity squamous cell carcinoma and 72 cases of oropharyngeal squamous cell carcinoma were treated with the FSAIFs. The complications and success rate of the two groups were observed. The swallowing and voice functions of the two groups were evaluated and compared 6 months after the operation. The survival of the two groups was followed up. Results No significant differences were found in TNM stage, the skin paddle of the flap, the rate of flap failure, or local complications between the OC-SCC and OP-SCC groups (P > 0.05). Significant differences in swallowing and speech outcomes were observed between the groups (P < 0.05). No significant differences were found in survival outcome between the groups after 9-59 months of follow-up. Conclusion FSAIF can be used for reconstructing the defect in oral cavity or oropharynx, but the swallowing function of reconstructing the defect in oropharynx is poor.

Key words: oral cavity, oropharynx, squamous cells, cancer, tumor, operative defect, facial-submental artery island flap, pedicle flap, functional reconstruction, swallowing function, speech function, prognosis

CLC Number: 

  • R782.2

Figure 1

FSAIF reconstruction following oral cavity squamous cell carcinoma ablation A 52-year-old male patient with stage II tongue squamous cell carcinoma （SCC）. a: before surgery; b: preparation of the facial-submental artery island flap （FSAIF）; c: a view of the repaired tongue defect 48 months postoperatively"

Figure 2

FSAIF reconstruction following oropharyngeal squamous cell carcinoma ablation A 74-year-old male patient with stage II palatine tonsil SCC; a: before surgery; b: preparation of the facial-submental artery island flap; c: oropharyngeal repair 48 months after operation"

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