"Five-point eight-line" anatomic flap design for precise hemitongue reconstruction
"Five-point eight-line" anatomic flap design for precise hemitongue reconstruction
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“五点八线”解剖瓣设计，精准重建半舌
DOI：
10.1002/hed.25571
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发表时间：
2019
影响因子：
2.9
通讯作者：
Li Jin Song
中科院分区：
文献类型：
--
作者：
Fan Song;Li Qun Xing;Zhang Han Qing;Liang Mao Jin;Tian Tian;Wang You Yuan;Lin Zhao Yu;Chen Wei Xiong;Pan Guo Kai;Ahn Michael Ho Young;He Lile;Sun Sheng;Wu Bing Hao;Yu Peirong;Li Jin Song
BackgroundReconstruction of hemiglossectomy defects requires careful flap design to avoid adverse functional and aesthetic outcomes.MethodsHemitongue specimens were obtained from minipigs to study the three‐dimensional anatomy and to define anatomic landmarks for precise measurements of flap requirement. The concept developed in animal models was then applied to hemiglossectomy reconstruction in clinical practice. Sixty‐one patients were randomly enrolled into the following two groups: a “five‐point eight‐line segment” (FIPELS) flap design group (28 patients) and a conventional group (33 patients). Functional and aesthetic outcomes were compared between the two groups.ResultsAll flaps designed with the FIPELS technique matched the hemiglossectomy defects without the need for flap trimming, thus reducing the operating time (P= .03). Swallowing functions, speech intelligibility, and aesthetic outcomes were superior in the FIPELS group than that in the conventional group (P< .05).ConclusionsThe FIPELS flap design for hemiglossectomy reconstruction yields improved functional and aesthetic outcomes compared to a conventional flap design.
