舌骨下肌皮瓣在老年口腔癌术后缺损修复中的应用

Reconstruction of tissue defects by infrahyoid myocutaneous flap in elder patients after oral cancer surgery

目的:探讨舌骨下肌皮瓣在老年口腔癌切除术后缺损修复中的应用价值。方法:回顾分析2005年12月—2010年11月间收治的口腔癌患者19例。男11例,女8例;年龄65～89岁,平均72.8岁。舌癌10例,口底癌6例,颊癌2例,下颌牙龈癌1例。均采用舌骨下肌皮瓣修复术后所致软组织缺损。结果:术后切口均一期愈合,19例舌骨下肌皮瓣全部成活,无1例发生全部或部分皮瓣坏死。患者获得满意的外观和功能。经过6个月～5a的随访,无一例肿瘤复发或远处转移。结论:舌骨下肌皮瓣制备较简单,效果可靠,且成活率高,是老年患者口腔癌修复重建的适用方法。

PURPOSE： To investigate the role of repairing tissue defects by infrahyoid myocutaneous flap after oral cancer surgery in elder patients. METHODS： From December 2005 to November 2010, we used infrahyoid myocutaneous flaps to reconstruct soft tissue defects in 19 elder patients after radical operation of oral cancer. There were 11 males and 8 females with the age range of 65 to 89 years （average： 72.8） .The lesions included 10 tongue cancers, 2 buccal cancers, 6 mouth floor cancers and 1 gingival cancer. RESULTS： All wound healed uneventfully, and all the 19 infrahyoid myocutaneous flaps survived without total or partial necrosis. The results were satisfactory both in appearance and functions. The patients were followed up for 6 months to 5 years, no tumour relapse and metastasis occurred. CONCLUSIONS： The procedure of preparing the infrahyoid myocutaneous flap is simple and the result is reliable. The flap is useful for reconstruction of soft tissue defects in elder patients.