颈前两个动脉岛状肌皮瓣在口腔癌术后缺损修复中的应用

Application of 2 kinds of cervical island musculo-cutaneous flaps for defect repair after oral cancer operation

目的:寻求口腔癌扩大切除术后缺损修复较理想的组织瓣,以恢复功能和外形,提高病人的生存质量。方法:收集颏下动脉岛状肌皮瓣修复44例,皮瓣面积为9.0 cm×6.5 cm^5.0 cm×3.5 cm;舌骨下肌群肌皮瓣修复10例,面积为9.0 cm×6.0 cm^6.0 cm×5.0 cm。结果:颏下动脉岛状瓣成活率为93.36%;舌骨下肌群瓣成活率近100%。结论:颈前两个动脉岛状肌皮瓣具有成活率高、操作简单、技术难度小、可与颈清扫手术同期完成、供区可直接拉拢缝合、动脉蒂长,肌皮瓣转移灵活等优点,是口腔癌扩大切除术后中小组织缺损修复较理想的组织瓣。

Objective： To find an ideal flap for defect repair after oral cancer operation and thus improve the recovery of the function and contour and the survival quality of the patients. Methods： We collected 44 cases of submental island musculo-cutaneous flap （ size range 5.0 cm×3.5 cm to 9.0 cm ×6.5 cm） and 10 cases of infrahyoid musculo-cutaneous flap （ size range 6.0 cm× 5.0 cm to 9 . 0cm× 6.0 cm） for defect repair after oral cancer operation from December 2000 to May 2005. Results ： The survival rate was 93.36 % for submental island musculo-cutaneous flap and almost 100% for infrahyoid musculo-cutaneous flap. Conclusion： These 2 kinds of cervical island musculo-cutaneous flaps are characterized by high survival rate, simple procedure, and being performed with mid-sized defect simultaneously, and are ideal for mid-sized defect repair after oral cancer operation.