Oncologic safety of facial artery myomucosal flaps in oral cavity reconstruction
Oncologic safety of facial artery myomucosal flaps in oral cavity reconstruction
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DOI：
10.1002/hed.24191
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发表时间：
2016-04-01
影响因子：
2.9
通讯作者：
Sesenna, Enrico
中科院分区：
文献类型：
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作者：
Ferrari, Silvano;Ferri, Andrea;Sesenna, Enrico
背景颊肌粘膜瓣通常用于口腔重建，主要适用于N 0期癌症患者。本研究的目的是探讨在静态颈淋巴清扫术中保留皮瓣血管蒂（面动脉和静脉）是否会改变这些患者的肿瘤安全性。回顾性分析50例T1 ~ 3、N 0期舌或口底鳞状细胞癌行颈淋巴结清扫术、面动脉肌黏膜瓣重建术的患者的颈部隐匿性转移和复发率。10例患者发现隐匿性转移。平均随访41个月。总生存率为88%，疾病特异性生存率为92%。保留面动脉和静脉的颈淋巴结清扫术不会改变局部复发率，证实了肌粘液瓣在口腔重建中的肿瘤学安全性。(C)2015 Wiley Periodicals，Inc.
Background. Buccinator myomucosal flaps are routinely used for oral cavity reconstruction and are indicated mainly in patients classified as having stage N0 cancer. This purpose of this study was to investigate whether preservation of the vascular pedicle of the flap (facial artery and vein) during stadiative neck dissection alters the oncologic safety in these patients.Methods. Fifty patients underwent resection of T1 to 3, N0 squamous cell carcinoma of the tongue or floor of the mouth, stadiative neck dissection, and reconstruction with a facial artery musculomucosal (FAMM) flap were retrospectively analyzed concerning rate of occult neck metastasis and recurrences.Results. Occult metastasis was detected in 10 patients. Mean follow-up was 41 months. The overall survival rate was 88%, and the disease-specific survival rate was 92%.Conclusion. Neck dissection with preservation of the facial artery and vein does not alter the rate of regional recurrences, confirming the oncologic safety of myomucosal flaps in oral cavity reconstruction. (C) 2015 Wiley Periodicals, Inc.