Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deform...Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deformity and induces mental suffering In order to restore the contour and func-tions of the tongue 21 cases of tongue defects were repaired and reconstructed with forearm radialor ulnar cutaneous or myocutaneous flaps All the transplanted flaps survived and the restored con-tour and functions were satisfactory. The surgical procedure of tongue reconstruction was intro-duced and how to have a satisfactory recovery of the tongue functions and raise the rate of successof the operation were discussed.展开更多
Total and even partial glossectomy could be a major event in the life of a patient. Tongue function is so complicated which makes maintaining normal functions of the tongue such as swallowing and speech and preserving...Total and even partial glossectomy could be a major event in the life of a patient. Tongue function is so complicated which makes maintaining normal functions of the tongue such as swallowing and speech and preserving larynx integrity after the surgery is a primary objective of the surgeon. This task is very difficult and the result is not predictable. Recent years, however, there has been interesting developments in microsurgical techniques, and these advancements enable oral and maxillofacial surgeons to achieve better results and improve the quality of their patient′s life. The results even with use of the new technology are still far from perfect. Several reasons may cause variation in the result. Some of them have to do with the patient such as general health and other reasons are due to the method that is used and nature of the defect after the removal of the tumor. This article was undertaken to summarize the various methods and techniques used over the years to restore oral tongue functions after defects.展开更多
Objective:To review our experience with infrahyoid myocutaneous flap in reconstruction after oral cancer resection.Methods:Chart reviews were completed for all patients who underwent oral reconstruction with an infrah...Objective:To review our experience with infrahyoid myocutaneous flap in reconstruction after oral cancer resection.Methods:Chart reviews were completed for all patients who underwent oral reconstruction with an infrahyoid myocutaneous flap by a single surgeon in the Department of Otolaryngology at Chonburi Cancer Hospital from 2011 to 2017.Characteristics of the patients and postoperative complications were analyzed.Results:Of the 34 patients in the study,10(29.4%)developed partial flap loss and 1(2.9%)developed total flap loss.All cases of partial flap loss resolved with conservative treatment.Apparent cancer involvement of a cervical lymph node was significantly associated with flap failure(odds ratio:5.0,95%CI:1.03e24.28).Conclusions:The infrahyoid myocutaneous flap is a fairly reliable reconstruction method.The flap should be performed with caution in cases with gross lymph node involvement.展开更多
Objective:The reconstruction of large scalp defects poses both functional and cosmetic challenges.While free tissue transfer remains the standard for defects larger than 30 cm^(2),prolonged anesthesia and postoperativ...Objective:The reconstruction of large scalp defects poses both functional and cosmetic challenges.While free tissue transfer remains the standard for defects larger than 30 cm^(2),prolonged anesthesia and postoperative complications remain significant limitations.The purpose of this study is to evaluate the use of O-Z flaps for the reconstruction of large scalp defects and to describe the techniques employed.Methods:This is a retrospective analysis of ten patients who underwent reconstructive surgery using an O-Z flap approach for large scalp defects between July 2017 and June 2019.The parameters included in this study were patient demographics,tumor characteristics,and postoperative management,collected for at least a year after surgery.Results:In this cohort,the mean age was 76.1 years and 90%were male.All patients were treated for neoplastic skin lesions,with 70%located on the vertex and 30%located on the temporoparietal region.The mean size of defect was 52.0 cm^(2)(range:38.6 to 63.8 cm^(2)).The maximum hospital stay was two days,and no patients were readmitted within 30 days of surgery.There were no cases of wound infection or flap necrosis.All patients reported pain control with acetaminophen and ibuprofen.Four patients received adjuvant radiation,and there was no delay to receiving treatment following surgery.Conclusions:The O-Z flap is a reliable alternative for the reconstruction of non-irradiated scalp defects in the vertex and temporoparietal regions up to 63 cm^(2).This technique provides advantages for patients,including hairline preservation,shorter hospital stays,and decreased postoperative complications.展开更多
文摘Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deformity and induces mental suffering In order to restore the contour and func-tions of the tongue 21 cases of tongue defects were repaired and reconstructed with forearm radialor ulnar cutaneous or myocutaneous flaps All the transplanted flaps survived and the restored con-tour and functions were satisfactory. The surgical procedure of tongue reconstruction was intro-duced and how to have a satisfactory recovery of the tongue functions and raise the rate of successof the operation were discussed.
文摘Total and even partial glossectomy could be a major event in the life of a patient. Tongue function is so complicated which makes maintaining normal functions of the tongue such as swallowing and speech and preserving larynx integrity after the surgery is a primary objective of the surgeon. This task is very difficult and the result is not predictable. Recent years, however, there has been interesting developments in microsurgical techniques, and these advancements enable oral and maxillofacial surgeons to achieve better results and improve the quality of their patient′s life. The results even with use of the new technology are still far from perfect. Several reasons may cause variation in the result. Some of them have to do with the patient such as general health and other reasons are due to the method that is used and nature of the defect after the removal of the tumor. This article was undertaken to summarize the various methods and techniques used over the years to restore oral tongue functions after defects.
文摘Objective:To review our experience with infrahyoid myocutaneous flap in reconstruction after oral cancer resection.Methods:Chart reviews were completed for all patients who underwent oral reconstruction with an infrahyoid myocutaneous flap by a single surgeon in the Department of Otolaryngology at Chonburi Cancer Hospital from 2011 to 2017.Characteristics of the patients and postoperative complications were analyzed.Results:Of the 34 patients in the study,10(29.4%)developed partial flap loss and 1(2.9%)developed total flap loss.All cases of partial flap loss resolved with conservative treatment.Apparent cancer involvement of a cervical lymph node was significantly associated with flap failure(odds ratio:5.0,95%CI:1.03e24.28).Conclusions:The infrahyoid myocutaneous flap is a fairly reliable reconstruction method.The flap should be performed with caution in cases with gross lymph node involvement.
文摘Objective:The reconstruction of large scalp defects poses both functional and cosmetic challenges.While free tissue transfer remains the standard for defects larger than 30 cm^(2),prolonged anesthesia and postoperative complications remain significant limitations.The purpose of this study is to evaluate the use of O-Z flaps for the reconstruction of large scalp defects and to describe the techniques employed.Methods:This is a retrospective analysis of ten patients who underwent reconstructive surgery using an O-Z flap approach for large scalp defects between July 2017 and June 2019.The parameters included in this study were patient demographics,tumor characteristics,and postoperative management,collected for at least a year after surgery.Results:In this cohort,the mean age was 76.1 years and 90%were male.All patients were treated for neoplastic skin lesions,with 70%located on the vertex and 30%located on the temporoparietal region.The mean size of defect was 52.0 cm^(2)(range:38.6 to 63.8 cm^(2)).The maximum hospital stay was two days,and no patients were readmitted within 30 days of surgery.There were no cases of wound infection or flap necrosis.All patients reported pain control with acetaminophen and ibuprofen.Four patients received adjuvant radiation,and there was no delay to receiving treatment following surgery.Conclusions:The O-Z flap is a reliable alternative for the reconstruction of non-irradiated scalp defects in the vertex and temporoparietal regions up to 63 cm^(2).This technique provides advantages for patients,including hairline preservation,shorter hospital stays,and decreased postoperative complications.
