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Ablation of advanced tongue cancer and mobile tongue reconstruction by using a sensitive anterolateral thigh and vastus lateralis muscle free flap

机译:使用敏感的前外侧大腿和股外侧肌游离皮瓣消融晚期舌癌并重建活动舌

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摘要

>Background. Successful tongue reconstruction after total glossectomy for advanced tongue or base of tongue cancer should restore swallowing, speech function, and cosmesis.>Methods. The anterior lateral thigh flap sensitive myocutaneous (ALTF) with vastus lateralis muscle was used to reconstruct the oral defect in a patient undergoing total glossectomy with laryngeal preservation for T4 tongue cancer.>Results. Good functional outcomes, measured by independent feeding, speech and swallowing, were achieved.>Conclusions. The anterolateral thigh myocutaneous flap for total tongue reconstruction creates a free neotongue tip with an adequate volume, producing acceptable swallowing function and cosmesis. The reconstruction with free flaps is a feasible method of restoring the functional outcomes in speech and deglutition among patients who undergo total glossectomy with laryngeal preservation.
机译:>背景。对于晚期舌癌或舌癌根癌,在全舌切除术后成功重建舌头可恢复吞咽,言语功能和美容效果。>方法。大腿前外侧皮瓣敏感型肌皮ALTF)结合股外侧肌用于T4舌癌行喉镜全切术并保留喉镜的患者的口腔缺损。>结果 >结论。用于全舌重建的大腿前外侧肌皮瓣可产生自由的新舌尖,并具有足够的体积,产生可接受的吞咽功能和美容效果。用游离皮瓣重建是一种在行全喉切除术并保留喉镜的患者中恢复言语和脱发功能的可行方法。

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