唇红弹性瓣在颊癌口角缺损中的应用效果评价

doi:10.19439/j.sjos.2025.02.008

上海口腔医学 ›› 2025, Vol. 34 ›› Issue (2): 157-161.doi: 10.19439/j.sjos.2025.02.008

唇红弹性瓣在颊癌口角缺损中的应用效果评价

吴坤, 吴汉江

中南大学湘雅二医院口腔科,湖南长沙 410011

收稿日期:2023-12-14 修回日期:2024-02-18 出版日期:2025-04-25 发布日期:2025-05-15
通讯作者: 吴汉江,E-mail：wuhanjiang@csu.edu.cn
作者简介:吴坤（1989-）,男,博士,E-mail：wukun1302@csu.edu.cn
基金资助:
湖南省自然科学基金青年项目（2021JJ40877）

Application of sliding vermilion flap in angulus oris defect after buccal mucosa cancer ablation

Wu Kun, Wu Hanjiang

Department of Stomatology, the Second Xiangya Hospital, Central South University. Changsha 410011, Hunan Province, China

Received:2023-12-14 Revised:2024-02-18 Online:2025-04-25 Published:2025-05-15

摘要/Abstract

摘要： 目的：探讨唇红弹性瓣在颊癌口角缺损中的临床修复效果。方法：选择2015年1月—2021年4月中南大学湘雅二医院口腔颌面外科收治的颊癌患者33例。所有患者行颊颌颈联合根治术及口角切除,同期行股前外侧游离皮瓣及唇红弹性瓣修复重建。使用头颈肿瘤治疗功能评估量表（the Functional Assessment of Cancer Therapy-Head and Neck, FACT-HN）评估患者术前及术后1年的口角形态、美观、咀嚼、吞咽及语言功能,测量开口度。采用SPSS 19.0软件包对数据进行统计学分析。结果：33例患者的皮瓣成功率为100%。与术前相比,术后患者的美观评分显著下降（P<0.001）,但口角形态无显著差异（P>0.05）。与术前相比,术后患者的咀嚼功能显著改善（P=0.004）;但吞咽功能和语言功能无显著改善（P>0.05）。与术前相比,术后患者的开口度显著增加（P<0.05）,患者对开口度的满意度为75.7%。结论：唇红弹性瓣可以较好恢复患者的口角形态,为口角缺损患者的修复重建提供一种可靠的选择方案。

关键词: 唇红弹性瓣, 颊癌, 口角缺损, 股前外侧游离皮瓣

Abstract: PURPOSE: To evaluate the effect of sliding vermilion flap in angulus oris defect after buccal mucosal cancer ablation. METHODS: A total of 33 patients with buccal mucosal cancer who underwent buccal mucosal cancer radical surgery and resection of angulus oris, and reconstructed with free anterolateral thigh flap transfer and sliding vermilion flap were collected from January 2015 to April 2021 in Department of Oral and Maxillofacial Surgery at Second Xiangya Hospital. Thirty-three patients with buccal mucosal cancer admitted to Department of Oral and Maxillofacial Surgery, Second Xiangya Hospital of Central South University from January 2015 to April 2021 were selected. All patients underwent combined buccal-mandibulectomy and neck radical operation and resection of oral angle, and underwent anterolateral femoral free flap and lip red elastic flap reconstruction. The angulus oris outcome, aesthetics outcome, masticatory efficacy, swallowing and speech function were assessed by FACT-HN (The Functional Assessment of Cancer Therapy-Head and Neck). The mouth opening was measured and recorded. SPSS 19.0 software package was used for statistical analysis of the data. RESULTS: The success rate of free flap transplantation was 100% in 33 patients. Although the aesthetics outcome was decreased at postoperative 1 year compared with that of preoperative duration (P<0.001), there was no significant difference of angulus oris outcome at postoperative 1 year compared with that of preoperative duration (P>0.05). Moreover, the masticatory function was significantly improved at postoperative 1 year compared with that of preoperative duration(P=0.004). However, there was no significant difference of speech and swallowing function at postoperative 1 year compared with that of preoperative duration (P>0.05). The mouth opening was significantly improved at postoperative 1 year compared with that of preoperative duration(P<0.05), and the satisfaction of mouth opening in these patients was 75.7%. CONCLUSIONS: The use of sliding vermilion flap can ideally repair the angulus oris, and offer a novel method to reconstruct defect of angulus oris.

Key words: Sliding vermilion flap, Buccal mucosal cancer, Defect of angulus oris, Free anterolateral thigh flap

中图分类号:

R739.8

吴坤, 吴汉江. 唇红弹性瓣在颊癌口角缺损中的应用效果评价[J]. 上海口腔医学, 2025, 34(2): 157-161.

Wu Kun, Wu Hanjiang. Application of sliding vermilion flap in angulus oris defect after buccal mucosa cancer ablation[J]. Shanghai Journal of Stomatology, 2025, 34(2): 157-161.

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唇红弹性瓣在颊癌口角缺损中的应用效果评价

Application of sliding vermilion flap in angulus oris defect after buccal mucosa cancer ablation

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