Use of Extended Lateral Upper Arm Free Flap for Tongue Reconstruction After Radical Glossectomy for Tongue Cancer

被引:8
作者
Yang, Xu-Dong [1 ]
Zhao, Su-Feng [1 ]
Wang, Yu-Xin [1 ]
Li, Wei [1 ]
Zhang, Qian [1 ]
Hong, Xiao-Wei [1 ]
Wen, Jian-Min [1 ]
Hu, Qin-Gang [1 ]
机构
[1] Nanjing Univ, Nanjing Stomatol Hosp, Dept Oral & Maxillofacial Surg, Sch Med, Nanjing 210008, Jiangsu, Peoples R China
关键词
Lateral upper arm free flap; Tongue cancer; Tongue reconstruction; Tongue repair; Complications; Microsurgery; SOFT-TISSUE RECONSTRUCTION; DONOR-SITE MORBIDITY; VERSATILITY; THICKNESS; RISK; HEAD;
D O I
10.1007/s00266-015-0512-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
This study evaluated the safety and effectiveness of the extended lateral arm free flap (ELAFF) for repair of partial tongue defects after radical resection of tongue cancer. The study included nine consecutive patients who underwent repair of a partial tongue defect with an ELAFF after radical resection of tongue cancer from November 2010 to December 2013. Lesions were at the tip or margin of the tongue. Details of the reconstructive surgery, donor-site and recipient-site morbidity, and functional and esthetic outcomes were evaluated during a minimum of 12 months follow-up. Patient-reported Visual Analog Scale (VAS) scores on a scale of 0 (minimum satisfaction) to 10 (maximum satisfaction) were used to evaluate esthetic outcomes. All patients were followed up for 12 months (median 24 months). The overall survival rate was 88 % (8/9). The donor site was closed primarily in all patients. The most frequent donor-site morbidity was a broad scar. Poor functional outcomes were associated with postoperative adjuvant radiotherapy. The shape and function of the reconstructed tongue were satisfactory. VAS scores (mean +/- A SD) for patient satisfaction with recipient-site and donor-site esthetics were 6.92 +/- A 1.70 and 7.33 +/- A 2.01, respectively. The ELAFF is a safe and effective option for repair of partial tongue defects after radical resection of tongue cancer.
引用
收藏
页码:562 / 569
页数:8
相关论文
共 19 条
  • [1] Donor-Site Morbidity of the Sensate Extended Lateral Arm Flap
    Depner, Christian
    Erba, Paolo
    Rieger, Ulrich M.
    Iten, Fabienne
    Schaefer, Dirk J.
    Haug, Martin
    [J]. JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 2012, 28 (02) : 133 - 137
  • [2] The versatility of the free lateral arm flap in head and neck soft tissue reconstruction: clinical experience of 210 cases
    Faria, Jose Carlos Marques
    Rodrigues, Monica Lucia
    Scopel, Gean Paulo
    Kowalski, Luiz Paulo
    Ferreira, Marcus Castro
    [J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2008, 61 (02) : 172 - 179
  • [3] Long-term regional control and survival in patients with "low-risk," early stage oral tongue cancer managed by partial glossectomy and neck dissection without postoperative radiation The Importance of Tumor Thickness
    Ganly, Ian
    Goldstein, David
    Carlson, Diane L.
    Patel, Snehal G.
    O'Sullivan, Brian
    Lee, Nancy
    Gullane, Patrick
    Shah, Jatin P.
    [J]. CANCER, 2013, 119 (06) : 1168 - 1176
  • [4] Versatility and donor site morbidity of the lateral upper arm flop in intraoral reconstruction
    Gellrich, NC
    Schramm, A
    Hara, I
    Gutwald, R
    Düker, J
    Schmelzeisen, R
    [J]. OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2001, 124 (05) : 549 - 555
  • [5] COMPLICATIONS AND MORBIDITY OF THE DONOR AND RECIPIENT SITES IN 123 LATERAL ARM FLAPS
    GRAHAM, B
    ADKINS, P
    SCHEKER, LR
    [J]. JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1992, 17B (02) : 189 - 192
  • [6] Swallowing and speech function after intraoral soft tissue reconstruction with lateral upper arm free flap and radial forearm free flap
    Hara, I
    Gellrich, NC
    Duker, J
    Schön, R
    Fakler, O
    Smelzeisen, R
    Honda, T
    Satoru, O
    [J]. BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2003, 41 (03) : 161 - 169
  • [7] Do multiple venous anastomoses reduce risk of thrombosis in free-flap transfer? Efficacy of dual anastomoses of separate venous systems
    Ichinose, A
    Terashi, H
    Nakahara, M
    Sugimoto, I
    Hashikawa, K
    Nomura, T
    Ogata, N
    Yokoo, S
    Tahara, S
    [J]. ANNALS OF PLASTIC SURGERY, 2004, 52 (01) : 61 - 63
  • [8] New multilobe "accordion" flaps for three-dimensional reconstruction of wide, full-thickness defects in the oral floor
    Koshima, I
    Hosoda, M
    Moriguchi, T
    Kawada, S
    [J]. ANNALS OF PLASTIC SURGERY, 2000, 45 (02) : 187 - 192
  • [9] THE EXTENDED LATERAL ARM FLAP - A NEW MODIFICATION
    KUEK, LBK
    CHUAN, TL
    [J]. JOURNAL OF RECONSTRUCTIVE MICROSURGERY, 1991, 7 (03) : 167 - 173
  • [10] Liu Jinbing, 2010, Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, V24, P82