舌癌根治术中舌再造的临床研究  

Application of the combination flaps of levato scapulae,medial scalene and buccinator musculomucosal in the reconstruction of tongue

作　　者：易晓辉[1] 张树标[1] 刘江峰[1] 余伟明[1] 刘小峰[1] 

机构地区：[1]广州医学院第一附属医院口腔颌面外科

出　　处：《临床医药实践》2009年第3Z期1443-1444,共2页Proceeding of Clinical Medicine

摘　　要：目的:为寻找一种简易,创伤小的舌及口底再造方法。方法:对23例舌癌患者颈清后制备肩胛提肌及中斜角肌瓣转移修复口底及舌体肌层缺损,颊肌粘膜瓣转移修复口底及舌体粘膜缺损,完成口底及舌再造。结果:组织瓣全部存活,无口底瘘,术后语音清晰20例。结论:肩胛提肌——中斜角肌——颊肌粘膜组合瓣再造舌及口底是一种成功有效的方法。Objective:In search of a way of simple and less hurting immediate reconstruction of tougue.Methods:The le- vato scapulae flap and the medial scalene flap were applied in 23 cases with cancer of tougue after neck dissection for the immediate reconstruction of orabottom and tongue muscle defect,Then the buccinator musculomucosal flap was applied for the immediate reconstruction of ora-bottom and tongue mucous membrane defect .Results:There were not flap necrosis and ora-bottom fistala in all cases.The swallowing and speech rehabilitations following surgi- cal treatment for tongue cancer were acceptable.Conclusion:This surgical procedure of reconstruction of tongue and ora-bottom is successful and simple,easy to perform.

关 键 词：舌肿瘤 外科皮瓣 再造术 

分 类 号：R739.8[医药卫生—肿瘤]