Abstract:

Objective    To explore the clinical effect of contralateral facial artery pedicle nasolabial island flap in reconstructing tongue defect after resection of tongue carcinoma. Methods    Totally 6 cases who underwent radical surgery for tongue carcinoma with opposit nasolabial groove flap for repairing defect immediately were summarized and analyzed. The vitality of flaps was observed and the patients were followed up postoperatively. Results    All flaps survived without severe complications and there was no tumor recurrence until now. Shape and motion range of reconstructed tongue were satisfactory. Function of speech and swallow were nearly normal. Conclusion    Efficacy of tongue defect reconstruction with opposit nasolabial groove flap after radical resection is effective and accordant with tumor free concept， and it is worthy of promotion.

Key words: contralateral nasolabial flap, tongue carcinoma, reconstruction, facial artery pedicle nasolabial island flap

摘要：

目的    探讨使用对侧面动脉蒂鼻唇沟岛状瓣修复舌癌术后缺损的临床效果。方法    对2013年1月到2014年6月广东省高州市人民医院口腔科收治的6例舌癌切除术后组织缺损患者，应用对侧面动脉蒂鼻唇沟岛状瓣进行修复。记录术后皮瓣血运、愈合情况，并对患者口腔功能进行8～18个月的随访。结果    6例患者皮瓣愈合良好，术后随访未出现严重并发症，无肿瘤复发，再造舌外形及活动度满意， 语音、吞咽功能接近正常。结论    对侧面动脉蒂鼻唇沟岛状瓣修复舌癌术后缺损效果良好，因术区未涉及肿瘤引流淋巴结，可用于口腔颌面部恶性肿瘤术后缺损的修复。

关键词: 对侧鼻唇沟皮瓣, 舌癌, 修复, 面动脉蒂鼻唇沟岛状瓣