Functional reconstruction of swallowing and articulation after total glossectomy without laryngectomy: money pouch-like reconstruction method using rectus abdominis myocutaneous flap.
Functional reconstruction of swallowing and articulation after total glossectomy without laryngectomy: money pouch-like reconstruction method using rectus abdominis myocutaneous flap.
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DOI：
10.1097/00006534-199912000-00011
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发表时间：
1999-12
影响因子：
3.6
通讯作者：
K. Kiyokawa;Y. Tai;Y. Inoue;H. Yanaga;K. Mori;T. Nakashima
中科院分区：
文献类型：
--
作者：
K. Kiyokawa;Y. Tai;Y. Inoue;H. Yanaga;K. Mori;T. Nakashima
当全舌切除术不进行喉切除术时，吞咽和发音的功能恢复对维持患者的生活质量至关重要。作者建立了一种钱袋状再造方法，其中使用腹直肌肌皮瓣再造圆而凸起的舌。在这种方法中，腹直肌肌皮瓣的皮岛在宽度和长度上都比缺损大约20%。将皮肤岛缝合到缺损处，使得多余的皮肤折叠成钱袋的形状。这允许重建舌头，其尖端和背部接触硬腭，其基部在背部和后部方向上凸出。在接受该手术的三名患者中没有发现吞咽错误，他们每个人的发音都得到了改善，足以进行日常对话。
When a total glossectomy is performed without a laryngectomy, the functional recovery of swallowing and articulation is extremely important in maintaining the patient's quality of life. The authors established a money pouch-like reconstruction method in which a round and raised tongue is rebuilt using a rectus abdominis myocutaneous flap. In this method, the skin island of the rectus abdominis myocutaneous flap is created about 20 percent larger than the defect in both width and length. The skin island is sutured to the defect such that the excess skin folds into the shape of a money pouch. This allows the tongue to be reconstructed with its tip and dorsum touching the hard palate and its base bulging in the dorsal and posterior directions. Misswallowing was not detected in the three patients who had this surgery, and each of them had improved articulation sufficient to carry out daily conversations.