Application of peroneal artery perforator bilobed flap in repairing postoperative defects of tongue carcinoma and floor of mouth carcinoma
10.3760/cma.j.cn114453-20191224-00383
- VernacularTitle:腓动脉穿支双叶皮瓣在舌癌、口底癌术后缺损修复中的应用
- Author:
Cao XU
1
;
Jiancheng LI
;
Peijun SONG
;
Dongkun YANG
;
Kai HU
;
Mo CHEN
;
Shunli DONG
Author Information
1. 蚌埠医学院第一附属医院口腔颌面外科 233004
- Keywords:
Surgical flap;
Perforator flap;
Tongue neoplasms;
Mouth neoplasms;
Peroneal artery;
Bilobed skin flap
- From:
Chinese Journal of Plastic Surgery
2020;36(8):893-898
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of bilobed skin flap with peroneal artery perforation in repairing postoperative defects of tongue cancer and oral floor cancer.Methods:Six patients with oral squamous cell carcinoma (4 males and 2 females, aged 28-72 years) admitted to the Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Benbu Medical College from May 2017 to December 2019 were repaired with the peroneal artery perforator bilobed flap, one lobe repaired the tongue, and the other repaired the floor of the mouth. The donor area is directly closed and sutured. Postoperative follow-up was conducted to observe tumor recurrence and metastasis, and the patient’s appearance, mouth opening, swallowing function, speech function and lower limb recovery were evaluated.Results:All the 6 flaps survived. One of the patients had a single flap because the pedicle of the perforator vessel was not long enough. The other 5 cases were repaired with bilobed leaf flap. All the flaps survived and the wound surface healed in the first stage. One case was infected with effusion after operation, which was healed by washing and dressing change. The donor area can be sutured directly. No tumor recurrence or metastasis occurred 6 months after surgery. Speech, swallowing and lower limb movement basically returned to normal, facial morphology was basically symmetrical, and the degree of opening Ⅱ-Ⅲ. Six months after the operation, 5 patients with bilobed valve returned to a nearly normal state with a degree of opening Ⅱ-Ⅲ. One patient with single lobe recovered moderately, but speech and swallowing were still restricted. In 6 cases, the donor scar was concealed and the lower limb was basically normal.Conclusions:The bilobed flap with peroneal artery perforation can be used to repair postoperative defects of tongue carcinoma and floor of mouth carcinoma.
