Reconstruction of the tongue and mouth floor with the myofascial vastus lateralis free flap after cancer ablation
Reconstruction of the tongue and mouth floor with the myofascial vastus lateralis free flap after cancer ablation
复制标题
癌症消融后股外侧肌筋膜游离皮瓣重建舌和口底
DOI：
10.1016/j.ijom.2016.03.009
复制
发表时间：
2016-08-01
影响因子：
2.4
通讯作者：
Shang, Z. -J.
中科院分区：
文献类型：
--
作者：
Wang, L.;Liu, K.;Shang, Z. -J.
当前的研究是为了评估一种新型的使用肌筋膜巨大的无外侧瓣（MVLF）来评估舌头和嘴地板重建的方法。描述了手术技术，益处，并发症率以及美学和功能结果。一系列六名患者在2013年7月至2014年11月之间进行了功能性的舌头重建。肌膜巨大的外侧外侧皮瓣得到如下：暴露了股外侧肌肉，确定了神经血管椎骨，并凸起了肌止毛囊皮瓣。术后，新统一似乎很丰满，并且能够维持帕拉特的接触。此外，在随访期间未观察到皮瓣体积的明显减小。大多数患者的舌头流动性良好。 MVLF的进一步使用应确认皮瓣表面上的粘膜是否在真正意义上成为舌头粘膜的一部分，是否以及患者的味觉恢复以及神经吻合后的生活质量得到改善的程度。到目前为止，它似乎是舌头和嘴地板重建的合适方法。
The current study was undertaken to evaluate a novel approach to tongue and mouth floor reconstruction using the myofascial vastus lateralis free flap (MVLF). The surgical techniques, benefits, complication rate, and the aesthetic and functional results are described. A series of six patients underwent functional tongue reconstruction between July 2013 and November 2014. The myofascial vastus lateralis flap was obtained as follows: the vastus lateralis muscle was exposed, the neurovascular pedicle was identified, and the myofascial flap was raised. Postoperatively, the neotongue appeared plump and was able to maintain palatal contact. Moreover, no obvious decrease in flap volume was observed during the follow-up period. Most patients experienced good tongue mobility. Further use of the MVLF should confirm whether the mucous membrane on the surface of the flap becomes part of the tongue mucosa in the true sense, whether and how well the patients will recover their sense of taste, and the degree to which quality of life is improved after nerve anastomosis. So far, it appears to be a suitable approach to tongue and mouth floor reconstruction.