胸锁乳突肌肌皮瓣修复舌根癌术后组织缺损

Application of Sternocleidomastoid Island Myocutaneous Flap for Tongue Cancer Reconstruction

目的:介绍应用胸锁乳突肌肌皮瓣修复舌根癌术后组织缺损的临床经验。方法:对7例应用胸锁乳突肌肌皮瓣修复舌根癌术后组织缺损的病例进行回顾性研究,分析胸锁乳突肌肌皮瓣的设计、制作、皮瓣存活情况及术中和术后并发症的发生情况。结果:7例患者中男性5例,女性2例,年龄42～75岁,修复范围约4.0cm×4.0cm～6.0cm×6.5cm,除1例皮瓣二期愈合,1例颈部创口二期愈合外,余肌皮瓣均愈合良好。患者无严重的术后并发症,外形和功能在术后短期内均得到基本恢复。术后1～2月追加放疗,未见有皮瓣坏死。结论:应用胸锁乳突肌肌皮瓣修复舌根癌术后组织缺损安全可靠,成功率高,且利于改善患者术后的功能和外形,值的推广使用。

Objective： To summarize the application of sternocleidomastoid myocutaneous flap to repair the local tissue defects after the operation of lingual root carcinoma. Methods： Local tissue defects of 7 lingual root carcinoma cases were repaired by sternocleidomastoid myocutaneous flaps. Clinical effects were analysed from the design of flap, manufacture and survival of the flap, operative and postoperative complications. Results： In 7 cases, the covered area were about 4.0 cm×4.0 cm-6.0 cm×6.5 cm. 6 myocutaneous flaps were healing by first intention. Incision in a cervical part of one case was healing by second intention. The outline and function were recovered in short time after the operation and no severe complications were observed. No necrosis of myocutaneous flap was found even after the followed radiotherapy. Condusion： Sternocleidomastoid myocutaneous flap is safe and reliable to repair the local tissue defection after the operation of lingual root carcinoma.