颏下岛状瓣修复口腔癌术后缺损的临床应用

The submental island flap for reconstruction of intralal defects in oral cancer patients

目的:探讨颏下岛状瓣修复口腔癌术后缺损的临床效果。方法:2010年6月～2011年12月收治的8例口腔癌患者,其中舌癌5例,舌根癌1例,口咽癌1例,下颌牙龈癌1例,全部采用颏下岛状瓣修复根治术后缺损,皮瓣最小5.5cm×4cm,最大8cm×4cm。结果:8例患者中6例皮瓣成功,2例坏死。患者言语、吞咽功能均正常,颈部瘢痕隐蔽,活动正常,外形满意。结论:颏下岛状瓣制备简单,成活率高,适合同期修复舌癌口咽癌及舌根癌术后缺损。

Objevtive To investigate the clinical application of the submental island flaps for reconstruction of intraoral defects in oral cancer patients.Methods Submental island flap intraoral reconstruction was performed on 8 cases with oral cancer including 5 cases with lingual cancer,1 case with cancer of tongue root,1 case with oropharyngeal cancer and 1 case with mandibular gingival cancer between June 2010 to Dec.2011.Among the submental island flaps,the size of these flaps was from 5.5cm×4cm to 8cm×4cm.Results Six submental island flaps of all the 8 cases in this study were survived and two were failed.The speaking and swallowing of the cases with the reconstruction of submental island flaps were normal.In all cases,moderately good skin color and texture match was achieved.The donor site recovered well with no hypertrophic scarring and no restriction to neck movement.Conclusion The submental island flap is a useful reconstructive procedure for the intraoral defects of the oral cancer patients.