舌瓣重建口腔软组织缺损研究进展

上海口腔医学 ›› 2015, Vol. 24 ›› Issue (5): 465-469.

舌瓣重建口腔软组织缺损研究进展

卢俊钦, 孙坚

上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面-头颈肿瘤科, 上海市口腔医学重点实验室,上海 200011

收稿日期:2014-12-01 修回日期:2015-02-11 出版日期:2015-10-20 发布日期:2015-11-03
通讯作者: 孙坚,E-mail:jianjian60@yahoo.com
作者简介:卢俊钦（1989-）,男,硕士,

Progress of tongue flap in reconstruction of oral soft tissue defects

LU Jun-qin, SUN Jian

Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People’s Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2014-12-01 Revised:2015-02-11 Online:2015-10-20 Published:2015-11-03
Contact: E-mail:461133087@qq.com

摘要/Abstract

摘要： 尽管目前口腔内软组织缺损越来越多地采用游离皮瓣修复,舌瓣如使用得当,仍不失为一种安全可靠且并发症少的修复方法,尤其适用于腭、磨牙后区、后颊、下唇唇红及舌部分切除后中等大小的软组织缺损。本文就舌瓣的解剖学基础及其在口腔内软组织缺损中的临床应用进展作一综述。

关键词: 舌瓣, 口腔颌面外科手术, 功能重建

Abstract: Although nowadays free flaps are popular to be used in restoration of intraoral defects, the tongue flap, when indicated, is still a safe, reliable reconstructive option with low morbidity. The dorsal or lateral tongue flap is particularly useful for moderate defects in the palate, retro-molar area, back buccal mucosa, lower vermilion and defects after partial glossectomy. This paper reviewed the anatomical basis of tongue flap and clinical application in reconstruction of intraoral defects.

Key words: Tongue flap, Oral and maxillofacial surgery, Functional reconstruction

卢俊钦, 孙坚. 舌瓣重建口腔软组织缺损研究进展[J]. 上海口腔医学, 2015, 24(5): 465-469.

LU Jun-qin, SUN Jian. Progress of tongue flap in reconstruction of oral soft tissue defects[J]. Shanghai Journal of Stomatology, 2015, 24(5): 465-469.

参考文献

[1] Backmjian VY. Lingual flap in reconstructive surgery for oral and perioral cancer [J]. Plast Surg,1990, 71(5): 3479-3496.
[2] 何尚宽, 徐达传, 王增量, 等. 舌瓣设计的解剖学基础 [J] .中国临床解剖学杂志, 1997, 15(1): 4-6 .
[3] Vasishta SM, Krishnan G, Rai YS, et al. The versatility of the tongue flap in the closure of palatal fistula [J]. Craniomaxillofac Trauma Reconstr, 2012, 5(3):145-160.
[4] Mahajan RK, Chhajlani R, Ghildiyal HC. Role of tongue flap in palatal fistula repair: a series of 41 cases [J]. Indian J Plast Surg, 2014, 47(2): 210-215.
[5] Elyassi AR, Helling ER, Closmann JJ. Closure of difficult palatal fistulas using a "parachuting and anchoring" technique with the tongue flap[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(6): 711-714.
[6] 邓永强, 郑苍尚, 朱耀旻. 舌肌黏膜瓣修复腭裂术后硬腭巨大穿孔的临床研究 [J]. 口腔医学研究, 2008, 24(4): 411-413.
[7] S&#x0dbc0;&#x0dd61;ndor GK, Carmichael RP, Brkovic BM. Dental implants placed into alveolar clefts reconstructed with tongue flaps and bone grafts [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2010, 109(2): e1-7.
[8] Gurunluoglu R, Glasgow M, Williams SA, et al. Functional reconstruction of total lower lip defects using innervated gracilis flap in the setting of high-energy ballistic injury to the lower face: preliminary report [J]. J Plast Reconstr Aesthet Surg, 2012, 65(10): 1335-1342.
[9] Kheradmand AA, Garajei A. Ventral tongue myomucosal flap: a suitable choice for shaved lower vermilion border reconstruction [J]. J Craniofac Surg, 2013, 24(2): e114-116.
[10] Keskin M, Sutcu M, Tosun Z, et al. Reconstruction of total lower lip defects using radial forearm free flap with subsequent tongue flap [J]. J Craniofac Surg, 2010, 21(2): 349-351.
[11] Deshmukh A, Kannan S, Thakkar P, et al. Tongue flap revisited [J]. J Cancer Res Ther, 2013, 9(2): 215-218.
[12] Ceran C, Demirseren ME, Sarici M. Tongue flap as a reconstructive option in intraoral defects[J]. J Craniofac Surg, 2013, 24(3): 972-974.
[13] Schechter GL, Sly DE, Roper AL 2nd, et al . Set-back tongue flap for carcinoma of the tongue base [J]. Arch Otolaryngol, 1980, 106(11): 668-671.
[14] Lu T, Zhang W, Zhao Y. Reconstruction following resection of tongue base cancer using set-back tongue flap [J]. Asian J Oral Maxillofac Surg, 2004 ,16(4): 218-223.
[15] Lam DK, Cheng A, Berty KE, et al. Sliding anterior hemitongue flap for posterior tongue defect reconstruction[J]. J Oral Maxillofac Surg, 2012, 70(10): 2440-2444.
[16] 黄伟, 孙坚, 陈阳. 舌背邻近组织瓣修复半侧舌部分缺损 [J]. 中华医学丛刊, 2004, 4(5): 7-9.
[17] Bressmann T, Ackloo E, Heng CL, et al. Quantitative three dimension-al ultrasound imaging of partially resected tongues [J]. Otolaryngol Head Neck Surg, 2007, 136(5): 799- 805.
[18] Rastadmehr O, Bressmann T, Smyth R, et al. Increased midsagittal tongue velocity as indication of articulatory compensation in patients with lateral partial glossectomies [J]. Head Neck, 2008, 30(6): 718-726.
[19] 翁雁秋,孙坚,陈阳,等.不同舌重建术后患者语音功能的评价 [J]. 口腔颌面外科杂志, 2006, 16(1): 39-41, 47.
[20] Sun J, Weng Y, Li J, et al. Analysis of determinants on speech function after glossectomy[J]. J Oral Maxillofac Surg,2007,65(10): 1944-1950.