Clinical application of peroneal artery perforator flap in repairing defects after total glossotomy and subtotal glossotomy
10.3760/cma.j.cn114453-20201010-00526
- VernacularTitle:游离小腿后外侧腓动脉穿支皮瓣在全舌、次全舌切除术后修复中的临床应用
- Author:
Yue SUN
1
;
Yun GUO
;
Jiancheng LI
;
Dongkun YANG
;
Kai HU
;
Mo CHEN
;
Cao XU
Author Information
1. 蚌埠医学院第一附属医院口腔颌面外科 233004
- Keywords:
Perforator flap;
Total glossotomy;
Subtotal glossotomy
- From:
Chinese Journal of Plastic Surgery
2021;37(11):1214-1221
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the clinical effect of free peroneal artery perforator flap (FPAPF) for reconstructing defects of total glossotomy and subtotal glossotomy.Method:A retrospective analysis of the clinical data of the patients with tongue cancer was performed. The patients were admitted to the Department of Oral and Maxillofacial Surgery of the First Affiliated Hospital of Bengbu Medical College from January 2017 to January 2019. All the patients underwent total tongue and subtotal tongue resection and one-stage repair with FPAPF. The function of swallowing, speech and chewing were evaluated with the water swallow test, the speech intelligibility test and the screening and weighing method at 3 months, 6 months, and 12 months after the operation. Use t-test to analyze the data and P< 0.05 was considered statistically significant. Results:A total of 20 patients were selected, including 16 males and 4 females, aged 46 to 68 years, with an average of 54.1 years old. The area of the peroneal artery perforator flap was 6.0 cm×7.0 cm—6.5 cm×8.0 cm, and the length of the pedicle was 6.0 cm—7.0 cm. The overall survival rate of the flap was approximately 95.0%(19/20). The survival rates of 1, 2, and 3 years after operation were 95.0%, 73.7%, and 64.3%, and the tumor-free survival rates were 95.0%, 63.2%, and 57.1%. With the prolongation of postoperative time, the functions of swallowing, speech and chewing gradually improved, and there was a statistically significant difference in 6 months after operation compared with 3 months after operation ( P<0.05). Speech was improved 12 months after operation compared to 6 months after operation.The difference was statistically significant ( P<0.05). Conclusions:The research showed that the peroneal artery perforator exhibited a constant anatomic location, and its diameter and length were more suitable for the preparation of free perforator flaps. The posterolateral tissues of lower legs are abundant, which is beneficial for repairing full tongue and subtotal tongue defects. The recovery of functions such as swallowing, speech intelligibility and chewing was ideal.
