应用颏下岛状皮瓣修复24例早期口腔癌术后缺损疗效评价  

Assessment of clinical outcome of submental island flap used in reconstruction of intraoral defect after resection of early oral cancers

作　　者：王超[1] 唐丽萍 张军[1] WANG Chao;TANG Li-ping;ZHANG Jun(Department of Oral and Maxillofacial Surgery, Tianjin Stomatological Hospital. Tianjin 300041;Department of Oral and Maxillofacial Surgery, School of Stomatalogy, Tianjin Medical University. Tianjin 300070, China)

机构地区：[1]天津市口腔医院口腔颌面外科,天津300041 [2]天津医科大学附属口腔医院口腔颌面外科,天津300070

出　　处：《中国口腔颌面外科杂志》2018年第3期266-269,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的 :评价应用颏下岛状皮瓣修复早期舌、颊、牙龈癌术后组织缺损的疗效。方法 :选择2014年11月—2017年8月收治的24例早期口腔癌患者,其中舌癌16例,牙龈癌5例,颊癌3例。患侧行肩胛舌骨上颈淋巴清扫术后,扩大切除病灶,同期应用3 cm×4 cm^5 cm×7 cm颏下岛状皮瓣修复组织缺损,对皮瓣成活、肿瘤复发、患者生存时间与生存质量进行评价。结果:23/24例皮瓣成活,成活率为96%。术后随访3~30个月,1例牙龈癌局部复发,复发率为4%;2例舌癌远期颈部淋巴结转移,发生率为8%。患者言语、进食基本正常,对口腔形态及功能比较满意,随访期内未发生死亡病例。结论:传统带蒂颏下岛状皮瓣制备简单,成活率高,手术创伤小,术后护理容易,是修复早期舌、颊、牙龈癌术后缺损的一种比较安全、可靠的方式。PURPOSE： To assess the clinical outcome of submental island flap used in reconstruction of intraoral defect after radical ablation of early oral cancers. METHODS： From November 2014 to August 2017,24 submental island flaps were used to reconstruct soft tissue defects after radical ablation of early oral squamous cell carcinoma（16 in tongue, 5 in gingival, 3 in buccal mucosa）. Supraomohyoid neck dissection was performed in all patients. The clinical outcome such as flap survival, tumor recurrence, survival time, and quality of life were reviewed. RESULTS： Twenty-three submental flap transfers were successful, accounting for 96%. One local recurrence of gingival SCC was found, accounting for 4%. Two patients of tongue SCC had postoperative cervical lymph node metastasis, accounting for 8%. No death was noted during3-30 months of follow-up. The functional and esthetic results were satisfied for all patients. CONCLUSIONS： Simpler fabrication, less time, higher success rate, and easy postoperative care make submental island flap an reliable choice for reconstruction of intraoral defects after resection of early oral cancers.

关 键 词：颏下岛状皮瓣 口腔癌 修复重建 

分 类 号：R739.8[医药卫生—肿瘤]