外侧斜方肌肌皮瓣在修复舌癌、口底癌切除术后组织缺损中的应用

Application of Lateral Trapezius Myocutaneous Flap in Reconstruction of Tissue Defect after Rresection of Carcinoma of Floor of Mouth or Tongue

目的探讨外侧斜方肌肌皮瓣在即刻整复舌癌口底癌术后组织缺损中的临床应用.方法对2007年9月至2012年12月间在昆明医科大学附属口腔医院口腔颌面外科采用带动静脉血管蒂的外侧斜方肌肌皮瓣即刻修复舌癌或口底癌术后组织缺损病例15例,进行临床回顾和术后定期随访,总结该肌皮瓣手术技巧.结果外侧斜方肌肌皮瓣全部成活,舌、口底缺损修复后取得较满意的功能和外形.结论外侧斜方肌肌皮瓣手术成功率高,有临床应用价值.

Objective To investigate the application of lateral trapezius myocutaneous flap in reconstruction of tissue defect after resection of carcinoma of floor of mouth or tongue. Methods From September 2007 to December 2012, pedicled lateral trapezius myocutaneous flaps were used to repair the tissue defect after resection of carci- noma in 15 patients with carcinoma of floor of mouth or tongue who were treated in the Dept. of Oral and Maxillofacial Surgery of the Affiliated Stomatological Hospital of Kunming Medical University. The patients were followed up regularly and the clinical data of them were reviewed to summarize the skills in tissue repair with lateral trapezius myocutaneous flap. Result All trapezius myocutaneous flaps survived, tongue or floor of mouth defect repair got satisfactory function and appearance. Conclusion This study suggests that lateral trapezius myocutaneous flap has high success rate in tissue defect repair after resection of carcinoma of floor of mouth or tongue, and deserves clinical application.