重庆医学Issue(29)：3918-3920,3.DOI:10.3969/j.issn.1671-8348.2014.29.024
SIMF和FSG修复老年患者颊癌术后缺损的对照研究
Control study on submental island flap and free skin graft in buccal reconstruction of buccal defects after resection of buccal cancers by in aged patients
摘要
Abstract
Objective To observe and evaluate the clinical effect of submental island myocutaneous flap(SIMF) and free skin graft(FSG) for the reconstruction of buccal defect resulted from the buccal carcinomas .Methods Forty-four aged aging patients di-agnosed with the buccal carcinomas were operated by the total dissection of primary tumor and selective neck dissection and recon-structed simultaneously with SIMF(19 cases) and FSG(25 cases) .The degree of postoperative cheek shape ,limitation of mouth o-pening ,speech sound ,and function of chewing were observed and analyzed .Results Eighteen SIMFs were completely survived .The residual muscle flap had a good blood supply after the debridement of skin island in one case ,the successful rate of flaps was 94 .7%(18/19) while 100% (25/25) .The donor site of SIMF was sutured directly .Follow-up was taken in 12 months for all patients .In SIMF group ,the degree of postoperative cheek shape ,limitation of mouth opening ,speech sound ,and function of chewing were bet-ter than those of FSG group in FSG group(P<0 .05) .There was no significant difference between 2 groups in the field of recur-rence and metastasis although the recurrence adjacent to the primary tumor had happened in FSG group in 5 months after operation (P>0 .05) .Conclusion The submental island flap is an excellent choice for the reconstruction of cheek defects in aging patients af-ter resection of buccal carcinoma .With acceptable cosmetic ,functional results and reasonable oncological saftety ,SIMF has a prom-ising prospect in head and neck surgery .关键词
面部肿瘤/外科皮瓣/缺损/游离皮片Key words
facial neoplasms/sugical flaps/defect/free skin graft分类
医药卫生引用本文复制引用
梁刚,郑田,季平,何平,赵洪伟..SIMF和FSG修复老年患者颊癌术后缺损的对照研究[J].重庆医学,2014,(29):3918-3920,3.基金项目
重庆市卫生局科研基金项目（07-2-178）。 （）
