面-颏下动脉岛状皮瓣修复年轻与老年舌癌患者的效果比较

doi:10.19438/j.cjoms.2020.02.005

中国口腔颌面外科杂志 ›› 2020, Vol. 18 ›› Issue (2): 117-121.doi: 10.19438/j.cjoms.2020.02.005

面-颏下动脉岛状皮瓣修复年轻与老年舌癌患者的效果比较

陈永菊, 陈伟良, 周斌, 钟江龙, 汪延, 陈睿

中山大学孙逸仙纪念医院口腔颌面外科,广东广州 510120

收稿日期:2019-09-16 修回日期:2019-11-29 出版日期:2020-03-20 发布日期:2020-04-30
通讯作者: 陈伟良,E-mail: drchen@vip.163.com
作者简介:陈永菊（1989-）,女,在读博士研究生,E-mail: 282530449@qq.com
基金资助:
国家自然科学基金（81772888）

Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma

CHEN Yong-ju, CHEN Wei-liang, ZHOU Bin, ZHONG Jiang-long, WANG Yan, CHEN Rui.

Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province, China

Received:2019-09-16 Revised:2019-11-29 Online:2020-03-20 Published:2020-04-30

摘要/Abstract

摘要： 目的:评估面-颏下动脉岛状肌皮瓣（facial-submental artery island flap,FSAIF）修复年轻与老年舌癌患者的效果。方法:选取2008年1月—2017年6月中山大学孙逸仙纪念医院口腔颌面外科收治的舌鳞状细胞癌（tongue squamous cell carcinoma,TSCC）患者96例,所有患者均采用FSAIF进行肿瘤切除后半舌缺损的同期整复;按年龄分为< 60岁（62例）及≥ 60岁（34例）2组;皮瓣大小分别为3 cm×6 cm~5 cm×12 cm（<60岁）和3 cm×9 cm~5 cm×15 cm （≥60岁）。所有患者均未行术后放疗,术后对每例患者随访并观察吞咽、言语功能及美观效果。采用SPSS 20.0软件包对数据进行统计学分析。结果:3例患者皮瓣失败,皮瓣存活率为96.9% （93/96）,2组皮瓣存活率无显著差异;2组患者吞咽、言语、美学及后期生存状态无显著差异。结论:FSAIF适用于修复肿瘤切除后的半舌缺损,无论年轻还是年老患者。

关键词: 舌鳞状细胞癌, 面-颏下动脉, 岛状皮瓣, 半舌缺损

Abstract: PURPOSE： The purpose of this study was to evaluate the outcomes of younger and older patients with tongue cancer using facial-submental artery island flap (FSAIF). METHODS: This study evaluated 96 patients with tongue squamous cell carcinoma (TSCC) who underwent FSAIF for reconstructing the hemitongue following cancer ablation. They were divided into two groups, namely < 60 years (n=62) and ≥ 60 years (n=34) age group. The skin paddles were 3 cm×6 cm-5 cm×12 cm (<60 years ) and 3 cm×9 cm-5 cm×15 cm (≥60 years) in size, respectively. None of the patients underwent radiotherapy. All the patients were followed up and their postoperative status were observed including swallowing, speech function, and aesthetic effects. Statistical analysis was performed using SPSS 20.0 software package. RESULTS: The flap success rate was 96.9% and there was no significant difference in the rate of flap success between the two groups. No differences in swallowing, speech, aesthetic outcome and living status were observed between the two groups. CONCLUSIONS: FSAIF is suitable for reconstructing the hemitongue following cancer ablation, no matter in young or old patients.

Key words: Tongue squamous cell carcinoma, Facial-submental, Island flap, Hemitongue

中图分类号:

R782.2

陈永菊, 陈伟良, 周斌, 钟江龙, 汪延, 陈睿. 面-颏下动脉岛状皮瓣修复年轻与老年舌癌患者的效果比较[J]. 中国口腔颌面外科杂志, 2020, 18(2): 117-121.

CHEN Yong-ju, CHEN Wei-liang, ZHOU Bin, ZHONG Jiang-long, WANG Yan, CHEN Rui.. Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma[J]. China J Oral Maxillofac Surg, 2020, 18(2): 117-121.

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面-颏下动脉岛状皮瓣修复年轻与老年舌癌患者的效果比较

Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma

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