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首页> 外文期刊>Microsurgery. >LONG-TERM FUNCTIONAL OUTCOMES AFTER TOTAL TONGUE RECONSTRUCTION: CONSIDERATION OF FLAP TYPES, VOLUME, AND FUNCTIONAL RESULTS
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LONG-TERM FUNCTIONAL OUTCOMES AFTER TOTAL TONGUE RECONSTRUCTION: CONSIDERATION OF FLAP TYPES, VOLUME, AND FUNCTIONAL RESULTS

机译：总舌重建后的长期功能结果：考虑皮瓣类型，体积和功能结果

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Objective: The purpose of this study is to evaluate the long-term results of flap volume change, swallowing capacity, speech intelligibility, and differences between vertical rectus musculocutaneous (VRAM) and anterolateral musculocutaneous (ALT) free flaps in total tongue reconstruction. Patients and methods: We retrospectively analyzed the medical records of 31 patients who underwent total tongue reconstruction with VRAM (24 cases) and ALT flap (7 cases). The mean age of patients was 52.09 +/- 2.25 years. The tumor types were as follows: squamous cell carcinoma (28 cases), adenoid cystic carcinoma (2 cases), and metastatic cancer (1 case). The flap volume was determined based on clinical and imaging examinations. Swallowing and speech function were analyzed using seven-point rating scales. Results: All flaps survived eventually after surgery; however, 1 patient underwent VRAM flap experienced partial flap necrosis, wound dehiscence in 4 patients underwent VRAM flap, and infection in 3 patients (VRAM; 2 patients, ALT; 1 patient). The mean follow-up period was 3.97 +/- 0.54 years. The volume of the flaps remained relatively constant over time. The swallowing capacity positively correlated with the flap volume (P<0.0001); however, the speech intelligibility did not correlate with the flap volume in analysis of total cohort. There were no statistical differences in functional outcomes between the two types of reconstructed flaps (P>0.05). Conclusion: The preservation of flap volume was important to achieve superior swallowing capacity; however, it was insufficient to promote the speech outcome. The functional outcomes did not differ depending on the type of flap. (C) 2015 Wiley Periodicals, Inc.
机译：目的：本研究的目的是评估襟翼体积变化，吞咽容量，言语可懂度和垂直直肠癌和前外侧肌肉皮（Alt）自由襟翼的延长容量，言语清晰度和差异的长期结果。患者及方法：我们回顾性分析了31例患者的医疗记录，vram（24例）和ALT翻盖（7例）进行了舌头全舌重建。患者的平均年龄为52.09 +/- 2.25岁。肿瘤类型如下：鳞状细胞癌（28例），腺样囊性癌（2例）和转移性癌症（1例）。襟翼体积是基于临床和成像检查确定的。使用七点评级尺度分析吞咽和语音功能。结果：手术后最终均存活所有襟翼;然而，1名患者接受了vRAM皮瓣的经历了部分皮瓣坏死，4名患者的伤口裂开，接受了vram皮瓣的感染，3例患者（vram; 2名患者，a 1患者）。平均随访时间为3.97 +/- 0.54岁。随着时间的推移，皮瓣的体积保持相对恒定。吞咽容量与襟翼体积呈正相关（P <0.0001）;然而，语音清晰度与总队列分析中的襟翼体积没有相关。两种重建襟翼之间的功能结果没有统计差异（P> 0.05）。结论：保存皮瓣体积对于实现优异的吞咽能力是重要的;但是，它不足以促进语音结果。功能结果取决于襟翼类型。 （c）2015 Wiley期刊，Inc。

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  • 来源
    《Microsurgery.》 |2017年第3期|共7页
  • 作者

    Jeong Woon Hyeok; Lee Won Jai; Roh Tai Suk; Lew Dae Hyun; Yun In Sik;

  • 作者单位

    Keimyung Univ Dept Plast &

    Reconstruct Surg Sch Med Dongsan Med Ctr Daegu South Korea;

    Yonsei Univ Hlth Syst Severance Hosp Dept Plast &

    Reconstruct Surg Inst Human Tissue Restorat;

    Yonsei Univ Hlth Syst Gangnam Severance Hosp Dept Plast &

    Reconstruct Surg Inst Human Tissue;

    Yonsei Univ Hlth Syst Severance Hosp Dept Plast &

    Reconstruct Surg Inst Human Tissue Restorat;

    Yonsei Univ Hlth Syst Gangnam Severance Hosp Dept Plast &

    Reconstruct Surg Inst Human Tissue;

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  • 正文语种 eng
  • 中图分类 特种外科手术学;
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