CAJ | 학술논문

目的探讨应用舌骨下肌皮瓣修复早期口底癌术后口底缺损的临床价值. 方法从1993年3月至2009年6月,以甲状腺上动、静脉及颈袢神经为蒂,用颈前舌骨下皮肤、胸骨舌骨肌、胸骨甲状肌及肩胛舌骨肌上腹组成的舌骨下肌皮瓣(最大面积8 cm×3 cm)修复早期口底癌术后口底缺损11例. 结果保护甲状腺上动脉颈阔肌支的7例舌骨下肌皮瓣修复口底均获成功,未保护甲状腺上动脉颈阔肌支的4例中2例出现表层坏死.随访24～195个月,1例出现Ⅰ区淋巴结肿瘤复发,经挽救性手术后至今生存,其余10例均无瘤生存至今.11例患者术后无吞咽困难,无发音障碍和无伸舌受限. 结论舌骨下肌皮瓣是修复早期口底癌术后口底缺损的主要方法之一.
목적 탐토응용설골하기피판수복조기구저암술후구저결손적림상개치. 방법 종1993년3월지2009년6월,이갑상선상동、정맥급경번신경위체,용경전설골하피부、흉골설골기、흉골갑상기급견갑설골기상복조성적설골하기피판(최대면적8 cm×3 cm)수복조기구저암술후구저결손11례. 결과 보호갑상선상동맥경활기지적7례설골하기피판수복구저균획성공,미보호갑상선상동맥경활기지적4례중2례출현표층배사.수방24～195개월,1례출현Ⅰ구림파결종류복발,경만구성수술후지금생존,기여10례균무류생존지금.11례환자술후무탄인곤난,무발음장애화무신설수한. 결론 설골하기피판시수복조기구저암술후구저결손적주요방법지일.
Objective To evaluate the clinical value of infrahyoid myocutaneous flap in the reconstruction of mouth floor tissue defects. Methods Infrahyoid myocutaneous flap was made including stenohyoid,thyrohyoid,omohyoid and the affiliated skin based on the axis of superior thyroid artery,vein and ansa cervicalis. The clinical data of 11 patients with reconstruction of mouth floor tissue defects using infrahyoid myocutaneous flap (maximum area was 8 cm × 3 cm) from Match 1993 to June 2009 were retrospectively reviewed.Results Seven infrahyoid myocutaneous flaps which reserved platysma branch of superior thyroid artery were all alive, while 2 patients presented epidermal necrosis of 4 un-protected patients. The follow-up period was range from 24 months to 195 months, one patient received salvage surgery for local regional lymphatic recurrence in level Ⅰ,which survived without diseases until now.The rest cases had turned out a success.No dysphagia,dysphonia,and tongue extension difficulty was reported in any patient. Conclusion Infrahyoid myocutaneous flap is one of the valuable donor sites for the reconstruction of mouth floor tissue defects after radical oncologic operations,especially for those with early stage carcinoma of the mouth floor.