颏下岛状皮瓣在修复舌癌术后缺损中的临床应用

Submental Island Flap in Restoration of Tongue Cancer Defects

目的:探讨颏下岛状皮瓣在修复舌癌术后组织缺损中的临床应用价值。方法:利用5具经10%甲醛溶液固定的国人成人男性标本,对颏下动脉相关解剖进行观测,并结合我院2005-09—2008-06使用颏下岛状皮瓣修复的9例舌癌患者进行临床回顾性分析。结果:颏下动脉走行恒定。9例颏下岛状皮瓣均成活,2例皮瓣远端表面部分坏死。修复后的舌黏膜表面光滑,运动受限不明显,吞咽功能良好。结论:颏下岛状皮瓣供血血管恒定,制备简单,成活率高,供区并发症少,且能够耐受放疗,是修复舌癌术后组织缺损较理想的皮瓣。

Objective： To explore the clinical value of repairing tongue cancer defects with submental island flap. Methods： Morbid anatomy of submental artery was studied at 5 Chinese adult cadaver fixed by 10% formalin. 9 cases of tongue cancer patients reconstructed with the submental island flap from September 2005 to June 2008 were reviewed retrospectively. Results： Submental artery runs constantly. All the submentalental island flaps were survival except two appeared partial necrosis. The tongue functions such as movement, deglutition were demonstrated nearly normal. Conclusion： Reconstruction of tongue cancer defects with submental island flap is an ideal option due to its reliable vascular pedicle and can afford large surface tissue and endure radiotherapy.