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  • Title: [Free medial thigh chimeric myocutaneous perforator flap for the reconstruction of tongue defect after tongue carcinoma resection].
    Author: Song DJ, Li Z, Zhou X, Zhang YX, Peng XW, Zhou B, Lyu CL, Peng W, Wang X, Ou Y.
    Journal: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi; 2017 Apr 07; 52(4):278-282. PubMed ID: 28441805.
    Abstract:
    Objective: To investigate the application of free medial thigh chimeric myocutaneous perforator flap in the reconstruction of tongue defect after radical resection of tongue carcinoma. Methods: From June 2013 to November 2015, 17 cases with tongue carcinoma underwent radical resection and tongue and mouth floor defects after surgery were reconstructed with medial thigh chimeric myocutaneous perforator flaps at the same stage. These 17 cases included tongue carcinoma on lingual margin (n=9), ventral tongue (n=7) and mouth floor (n=1). Appearance and functional results were evaluated with follow-up. Results: Medial thigh chimeric myocutaneous perforator flap was (9.0±0.3) cm in length, (4.5±0.3) cm in width , and (1.8±0.4) cm in thickness. The length of pedicle was (7.4±0.6) cm. All of the 17 flaps survived uneventfully, and the donor sites were closed directly in all cases. All patients were followed up for 10-28 months with satisfied esthetic and functional results in reconstructed tongue. Aside from linear scar in the donor sites, the functions of thighs were not affected. No local recurrence occurred. Conclusion: The free medial thigh chimeric myocutaneous perforator flap is an ideal choice to reconstruct the tongue and mouth floor defect after radical resection of tongue carcinoma. 目的： 探讨游离股内侧嵌合穿支肌皮瓣在舌癌术后缺损修复中的应用。 方法： 从2013年6月至2015年11月应用股内侧嵌合穿支肌皮瓣对17例舌癌患者舌颌颈联合根治术后同期行舌及口底缺损修复，口底腔隙同时用肌瓣充填，其中舌缘癌9例，舌腹癌7例，口底癌累及舌1例。观察缺损修复后的形态、功能。 结果： 皮瓣长(9.0±0.3)cm、宽(4.5±0.3)cm、厚(1.8±0.4)cm。以股深动脉来源的股内侧穿支为蒂的嵌合穿支肌皮瓣血管蒂长度为(7.4±0.6)cm。17例嵌合穿支肌皮瓣全部存活，供区均直接闭合。术后随访10～28个月。再造舌形态良好，吞咽、语言功能满意，肿瘤局部无复发。供区仅遗留线性瘢痕，大腿功能未见明显影响。 结论： 股内侧嵌合穿支肌皮瓣是舌癌术后舌缺损修复的理想选择。.
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