颏下岛状皮瓣在口咽癌术后缺损修复中的应用

上海口腔医学 ›› 2014, Vol. 23 ›› Issue (4): 477-480.

颏下岛状皮瓣在口咽癌术后缺损修复中的应用

李凤梅, 冯元勇, 金晓明, 尚伟

青岛大学附属医院口腔科,山东青岛 266003

收稿日期:2013-08-26 出版日期:2014-08-20 发布日期:2014-10-20
通讯作者: 尚伟,Tel:0532-82911342,E-mail:liweishang@126.com
作者简介:李凤梅(1987-), 女, 硕士研究生, E-mail:lifengmeikouqiang@126.com

Clinical application of submental island flap in repairing oropharynx defects after cancer ablation

LI Feng-mei, FENG Yuan-yong, JIN Xiao-ming, SHANG Wei

Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University. Qingdao 266003, Shandong Province, China

Received:2013-08-26 Online:2014-08-20 Published:2014-10-20

摘要/Abstract

摘要： 目的:探讨颏下岛状皮瓣修复口咽癌术后缺损的临床效果,为临床应用提供经验。方法:选择口咽癌患者13例,其中鳞状细胞癌12例,肌上皮癌1例,行原发灶切除术及颈淋巴清扫术,采用颏下岛状皮瓣修复术后缺损。结果:13例患者中,12例皮瓣全部成活,1例皮瓣远心端坏死,经修剪换药后愈合,术后随访3个月～3 a,未见原发灶复发及颈部淋巴结转移,均获得良好的进食、语言功能。结论:颏下岛状皮瓣毗邻口咽区,供区位于颈淋巴清扫切口线,操作简单、方便。口咽癌I区淋巴结转移较少,用于修复口咽术后中小组织缺损安全有效,具有良好的临床应用价值。

关键词: 颏下岛状皮瓣, 口咽癌, 缺损修复

Abstract: PURPOSE:To discuss the clinical effects of submental island flap on repairing oropharynx defects after cancer ablation, and provide experience for clinical application. METHODS:Thirteen oropharyngeal cancer patients were included, and they were repaired with submental island flaps in oropharynx regions after cancer ablation and radical neck dissection. Among them, 12 patients were squamous cell carcinoma, and 1 patient was carcinoma. RESULTS: Of the 13 flaps used, 12 submental island flaps survived, only 1 flap had partial necrosis at the distal margin, which healed after triming and dressing. The follow-up time was 3 months to 3 years, and tumor recurrence or metastasis was not noted. All patients got good eating and speech functions. CONCLUSIONS:Submental island flap is safe and effective for repairing small or middle sized oropharynx defects after cancer ablation, which is located in the area of radical neck dissection, and has the advantages of simple operation,hidden incision and fewer lymph node metastasis in level I. Submental island flap has excellent clinical usefulness.

Key words: Submental island flap, Oropharynx, Repair of defect

中图分类号:

R739.8

李凤梅, 冯元勇, 金晓明, 尚伟. 颏下岛状皮瓣在口咽癌术后缺损修复中的应用[J]. 上海口腔医学, 2014, 23(4): 477-480.

LI Feng-mei, FENG Yuan-yong, JIN Xiao-ming, SHANG Wei. Clinical application of submental island flap in repairing oropharynx defects after cancer ablation[J]. Shanghai Journal of Stomatology, 2014, 23(4): 477-480.

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