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題 名 | 以游離皮瓣重建舌癌切除術後缺損--應用兩種不同皮瓣之病例報告=Tongue Reconstruction with Free Flaps after Tumor Ablation--Case Report on the Application of Two Different Flaps |
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作 者 | 胡廣煜; 章浩宏; 郭生興; | 書刊名 | 中華民國口腔顎面外科學會雜誌 |
卷 期 | 14:1 2003.03[民92.03] |
頁 次 | 頁27-38 |
分類號 | 416.95 |
關鍵詞 | 前外側大腿游離皮瓣; 手前臂橈動脈游離皮瓣; 舌癌; Free anterolateral thigh flap; Free radial forearm flap; Tongue cancer; |
語 文 | 中文(Chinese) |
中文摘要 | 舌癌的治療以手術廣泛切除島主,由於舌對發音,吞嚥,協助咀嚼等方面,扮演重要的角色,而且由於舌豐富的血流供應,複雜的淋巴系統會造成舌癌快速的成長及易淋巴轉移,所以如何將舌癌作廣泛切除及有效重建,便成為腫瘤手術者所面臨的課題。本文提出一例以手前臂橈動脈游離皮瓣 (free radial forearm flap) 及一例以穿通支式前外側大腿游離皮瓣 (free perforator anterolateral thigh flap) 重建舌癌術後缺損。手術結果,兩位病人均經過 術後顯微皮瓣監測及照護,一周後下床,兩週後出院,植皮瓣區及供皮瓣區均無明顯併發症,舌的運動、發音、吞嚥均接近正常範圍。廣泛的切除舌癌並利用手前臂橈動脈游離皮瓣或以穿通支式前外側大腿游離皮瓣等筋膜皮膚皮瓣 (fasciocutaneous flap) 來重建舌功能,在組織工程未成熟之前,不失為較迫切的方法。 |
英文摘要 | The mainstay of treatment for tongue cancers remains to be surgical excision. Tongue plays important roles in articulation, swallowing and assisting mastication. The rich blood supply and complex lymphatic drainage make tongue cancer a fast growing and easily metastazied malignancy. Giving attention to both ablative surgery that is oncologically safe and reconstruction that is functionally adequate is a major challenge to the surgeons. In Taiwan, free flap reconstructions in the head and neck region are usually performed by plastic surgeons. In this article we report the experience in tongue reconstruction performed by our microsurgical team at the Division of Oral and Maxillofacial Surgery. We used free radial forearm flap and perforator anterolateral thigh f1aprespectively for the reconstruction of defects after excision of tongue cancer in two cases. The surgery went smoothly and the post-operative courses were uneventful, both the donor and recipient sites in the two patients healed well. After the surgery, the range of tongue movement was limited only to a minor degree and the functions of articulation and swallowing were acceptable in the two patients. We advise using free fasciocutaneous flap ssuch as the two in this report to reconstruct defects after wide excision of tongue cancers. Before the era of clinical tissue engineering, we find this is an adequate method for treating patients with tongue cancer. |
本系統中英文摘要資訊取自各篇刊載內容。