CAJ | 학술논문

目的寻找不同舌瓣修复口腔恶性肿瘤术后缺损的理想方案。方法应用不同蒂的舌瓣修复23例舌部、口底及口咽部恶性肿瘤术后大型缺损，并对修复效果进行分析。结果23例舌瓣全部成活，术后均能正常进食（食饭），对发音较为满意。结论应用不同种类舌瓣修复口腔恶性肿瘤术后组织缺损具有创伤小，方法简单，效果好等优点，值得广泛使用，但也应注意手术适应症及操作要点。
목적심조불동설판수복구강악성종류술후결손적이상방안。방법응용불동체적설판수복23례설부、구저급구인부악성종류술후대형결손，병대수복효과진행분석。결과23례설판전부성활，술후균능정상진식（식반），대발음교위만의。결론응용불동충류설판수복구강악성종류술후조직결손구유창상소，방법간단，효과호등우점，치득엄범사용，단야응주의수술괄응증급조작요점。
Objective The purpose of this study was to assess the reliability of lingual flaps used for reconstructing oral and oropharyngeal defects fol owing cancer ablation.Methods Twenty three lingual, floor and oropharyngeal defects were repaired by using dif erent pedicled lingual flaps, the fol ow up period was 6-60 months, the form and function of the recipient sites were assessed. Results The postoperative outcome for 23 cases of dif erent pedicled lingual flaps was al surviving. Al patients could take normal diet (chew cooked rice) and enunciates words distinctly. Conclusion Dif erent pedicled lingual flaps was safe, rapid, simple and ef ective methods, and can reliably be used for reconstructing oral and oropharyngeal defects fol owing cancer ablation. But there are surgical indications and operation points need to notice.