CAJ | 학술논문

目的：探讨颏下蒂岛状皮瓣在口腔癌术后口内缺损一期修复中的应用效果。方法：对我科2010年9月～2014年6月应用颏下蒂岛状皮瓣修复24例口腔癌术后口内软组织缺损患者的临床资料进行回顾性分析，观察皮瓣的存活情况及近、远期临床效果。结果：1例下牙龈癌患者术后皮瓣出现静脉危象坏死，予以清除，创面拉拢缝合。23例皮瓣全部存活。术后随访6～36个月，该组病例均未见肿瘤复发与转移。组织瓣血运丰富，皮瓣形态良好，无臃肿，外观和功能满意。结论：颏下岛状皮瓣具有血管蒂恒定、制备简单、可旋转幅度大，厚度适中、易于成活及供区隐蔽等优点，是口腔癌切除后软组织缺损修复的较理想选择。
목적：탐토해하체도상피판재구강암술후구내결손일기수복중적응용효과。방법：대아과2010년9월～2014년6월응용해하체도상피판수복24례구강암술후구내연조직결손환자적림상자료진행회고성분석，관찰피판적존활정황급근、원기림상효과。결과：1례하아간암환자술후피판출현정맥위상배사，여이청제，창면랍롱봉합。23례피판전부존활。술후수방6～36개월，해조병례균미견종류복발여전이。조직판혈운봉부，피판형태량호，무옹종，외관화공능만의。결론：해하도상피판구유혈관체항정、제비간단、가선전폭도대，후도괄중、역우성활급공구은폐등우점，시구강암절제후연조직결손수복적교이상선택。
Objective The aims of the study is to assess the usefulness of submental island flap in oral reconstruction. Methods From September 2010 to June 2014,Total 24 patients who underwent ablative surgery suffered from oral cancer and reconstruction using the submental artery island flap in one stage.The short and long term effects were observed.There were 15 men and 9 women, ages of whom ranged from 47 years to 81 years with a mean 63.8 years. The size of the skin paddle ranged from 5cmí4cm to 10cmí6cm. Results 23 cases flaps survived in this study. One case with carcinoma of inferior gingival was failed because of flap necrosis caused by venous embolism. Donor site healing was excellent in all cases and the donor site scar was well hidden.The long term cosmesis and functions were good in all the patients.Followed up 6~36 months,tumor recurrence and metastasis were not observed in this group. Conclusion The submental artery island flap is a simple and reliable option for oral cancer reconstruction due to its reliable vascular pedicle,fitting thickness, high successful ratio in carefully selected cases,with acceptable cosmetic and functional results and reasonable oncological safety.