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目的探讨使用对侧面动脉蒂鼻唇沟岛状瓣修复舌癌术后缺损的临床效果。方法对2013年1月到2014年6月广东省高州市人民医院口腔科收治的6例舌癌切除术后组织缺损患者,应用对侧面动脉蒂鼻唇沟岛状瓣进行修复。记录术后皮瓣血运、愈合情况,并对患者口腔功能进行8~18个月的随访。结果 6例患者皮瓣愈合良好,术后随访未出现严重并发症,无肿瘤复发,再造舌外形及活动度满意,语音、吞咽功能接近正常。结论对侧面动脉蒂鼻唇沟岛状瓣修复舌癌术后缺损效果良好,因术区未涉及肿瘤引流淋巴结,可用于口腔颌面部恶性肿瘤术后缺损的修复。
Objective To investigate the clinical effect of repairing tongue cancer postoperative defect using lateral artery pedicle nasolabial flap. Methods From January 2013 to June 2014, 6 cases of tissue defect after tongue cancer resection were treated in Department of Stomatology, People’s Hospital of Gaozhou City, Guangdong Province. The flaps of lateral nasolabial island flap were repaired. The postoperative flap blood flow and healing were recorded, and the patient’s oral function was followed up for 8 to 18 months. Results The flaps of 6 patients were well healed. There were no serious complications, no tumor recurrence, satisfactory reconstruction of tongue shape and mobility, and close to normal voice and swallowing. Conclusions The repair of the defect of tongue cancer by lateral artery pedicle nasolabial flap is good, because the tumor drainage lymph node is not involved in the operation and can be used for the repair of the postoperative defect of oral and maxillofacial malignant tumor.