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首页> 外文期刊>ANZ journal of surgery >Oral complications after lingual mucosal graft harvest for urethroplasty.
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Oral complications after lingual mucosal graft harvest for urethroplasty.

机译：舌黏膜移植物移植后的口腔并发症。

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BACKGROUND: The aim of this study was to assess the complications at donor site after lingual mucosal graft harvesting for urethroplasty. METHODS: From March 2006 to December 2006, 30 patients of anterior urethral stricture underwent lingual mucosal graft urethroplasty. The site of the harvest graft was lateral mucosal lining of the tongue. Donor site complications, that is, pain, slurring of speech, pain during speech, salivatory changes and difficulty in protrusion of tongue were noted. RESULTS: The mean (range) age of patients was 36.2 years (22-52 years). The mean (range) stricture length was 8.4 cm (4.8-16 cm) and graft length was 8.5 cm (4.2-16.2 cm). Mean duration of follow up was 3.8 months. At the first postoperative day, 90% of the patients experienced pain at donor site and 20% had slurring of speech. Pain was mild to discomforting in 80% and distressing to horrible in 13% of the patients. By third postoperative day, two-thirds were pain free, one-thirds had mild pain only and none had slurring of speech. By day 6 of surgery, all patients were pain free. Six per cent of the patients reported numbness over ventral aspect of anterior half of tongue, which persisted in the first follow up and subsided by second follow up. There was no bleeding, haematoma or infection at donor site. All patients were able to resume oral fluid within 24 h, eat soft solid diet in 48-72 h and return to normal diet after 4-5 days of surgery. No patient complained of difficulty in opening the mouth, salivation disturbances, perioral numbness or difficulty in protrusion of tongue. No long-term functional or aesthetic complications were reported. CONCLUSION: Lingual mucosal graft harvesting is feasible, provides a long graft, is easy to carry out and is the least morbid procedure.
机译：背景：本研究的目的是评估在舌黏膜移植物植入后进行尿道成形术后供体部位的并发症。方法：2006年3月至2006年12月，对30例前尿道狭窄患者进行了舌黏膜移植术。收获移植物的部位是舌的外侧粘膜衬里。注意到供体部位的并发症，即疼痛，言语不清，言语中的疼痛，唾液变化和舌头伸出困难。结果：患者的平均（范围）年龄为36.2岁（22-52岁）。平均（范围）狭窄长度为8.4厘米（4.8-16厘米），移植物长度为8.5厘米（4.2-16.2厘米）。平均随访时间为3.8个月。术后第一天，90％的患者在供体部位感到疼痛，20％的患者出现言语不清。 80％的患者疼痛轻微至不适，13％的患者疼痛至可怕。术后第三天，三分之二的人无疼痛，三分之一的人只有轻度的疼痛，没有言语含糊。到手术第6天，所有患者均无疼痛。 6％的患者报告说舌头前半部的腹侧麻木，这种症状在第一次随访中持续存在，而在第二次随访中消失。供体部位无出血，血肿或感染。所有患者均能够在24小时内恢复口腔液，在48-72小时内进食软固体饮食并在手术4-5天后恢复正常饮食。没有患者抱怨张口困难，流涎障碍，口周麻木或舌头突出困难。没有长期的功能或美学并发症的报道。结论：舌黏膜移植术可行，移植时间长，操作简便，病态最少。

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