摘要
Abstract
Objective To investigate the effect of free flap and tongue reconstruction on motor function and speech function in patients with tongue carcinoma resection.Methods Eighty-six patients with tongue cancer treated in the author's hospital from January 2020 to May 2022 were selected.The defect was repaired by different methods according to the wound condition.Pectoralis major myocutaneous flap was used to repair the defect in patients with poor peripheral blood vessel condition and large defect tissue.The anterolateral femoral musculocutaneous flap was selected to repair the defect with good peripheral vascular status,relatively small defect tissue and the area that the flap could cover was matched with the defect after tongue resection.They were divided into anterolateral thigh myocutaneous flap group(n=43)and pectoralis major myocutaneous flap group(n=43).Results There was no inflammation in and around the flap area in the two groups,and the tongue body shape was normal.All the patients survived.The color,texture,elasticity and skin of the transplanted flap were good.The postoperative recovery time of anterolateral femoral myocutaneous flap group was significantly shorter than that of thoracic major myocutaneous flap group(P＜0.05).Compared with preoperative results,lingual muscle movement scores in 2 groups were improved at 2 months,4 months and 6 months after surgery(P＜0.05),and lingual muscle movement scores in anterolateral femoral flap group were significantly higher than those in pectoralis major flap group(P＜0.05).Phonogram(phonetic intelligibity,phonetic PI),phonogram PI and phonogram PI were significantly improved 6 months after surgery(P＜0.05).The MTF score of anterolateral femoral myocutaneous flap group was significantly higher than that of thoracic major myocutaneous flap group(P＜0.05).The complication rate of anterolateral femoral myocutaneous flap group(4.65%)was significantly lower than that of thoracic major myocutaneous flap group(20.93%),and the difference was statistically significant(P＜0.05).Conclusion After tongue cancer resection,using anterolateral thigh myocutaneous flap and pectoralis major myocutaneous flap to repair and reconstruct the tongue can improve the language function of patients,however,anterolateral thigh myocutaneous flap repairing and reconstructing the tongue is more effective in shortening postoperative recovery time,improving motor function and swallowing function,and reducing complications.关键词
股前外侧肌皮瓣/胸大肌皮瓣/舌再造/运动功能/语言功能Key words
anterolateral femoral musculocutaneous flap/pectoralis major myocutaneous flap/tongue reconstruction/motor function/language function分类
医药卫生
