[口腔癌切除术后采用扩大锁骨上岛状筋膜皮瓣修复舌缺损]
[Reconstruction of tongue defects following oral cancer ablation with extended supraclavicular fasciocutaneous island flap].
作者信息
Zhang Da-Ming, Chen Wei-Liang, Chai Qiang, Liang Yan-Can, Yang Zhao-Hui, Li Jin-Song
机构信息
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
出版信息
Zhonghua Kou Qiang Yi Xue Za Zhi. 2011 Jan;46(1):24-6.
OBJECTIVE
To assess the reliability and usefulness of the extended supraclavicular fasciocutaneous island flap (eSIF) for reconstructing soft tissue defects followinng tongue cancer ablation.
METHODS
Twenty-two tongue defects in 22 patients with tongue cancer were repaired with eSIF after resection of the tongue malignant tumours. The sizes of the skin paddle ranged from (4 cm × 6 cm) to (8 cm × 14 cm) (average: 5.5 cm × 8.7 cm).
RESULTS
The eSIF survived in twenty cases, including two cases with minimal partial necrosis. The patients were follwed up for 5 - 16 months. Eighteen patients were alive with disease free, two were alive with disease and two died of a lung and liver metastasis.
CONCLUSIONS
The eSIF is reliable for reconstructing oral defects following the ablation of advanced oral malignant tumors.
目的
评估扩大锁骨上岛状筋膜皮瓣（eSIF）用于舌癌切除术后软组织缺损重建的可靠性和实用性。
方法
22例舌癌患者的22处舌部缺损在切除舌部恶性肿瘤后采用eSIF修复。皮瓣大小范围为（4厘米×6厘米）至（8厘米×14厘米）（平均：5.5厘米×8.7厘米）。
结果
20例eSIF存活，包括2例有轻微部分坏死。患者随访5至16个月。18例患者无病存活，2例带瘤存活，2例死于肺和肝转移。
结论
eSIF用于晚期口腔恶性肿瘤切除术后口腔缺损的重建是可靠的。
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