Comparison of the quality of life between patients underwent reconstruction after hemiglossectomy using infrahyoid myocutaneous flap and radial forearm flap
10.16066/j.1672-7002.2016.03.003
- VernacularTitle:舌骨下肌肌皮瓣和桡侧前臂皮瓣修复半舌缺损术后患者生活质量的比较
- Author:
Min XU
;
Xihong YANG
;
Haipeng GUO
;
Weizheng CHEN
;
Jianying LIN
;
Hanwei PENG
- Publication Type:Journal Article
- Keywords:
Tongue Neoplasms;
Reconstructive Surgical Procedures;
Quality of Life;
Evaluation Studies;
radial forearm flap;
infrahyoid myocutaneous flap;
oral function
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2016;23(3):131-134
- CountryChina
- Language:Chinese
-
Abstract:
[ABSTRACT]OBJECTIVEThis study was designed to compare the quality of life between patients who
underwent a tongue reconstruction with radial forearm flap (RFF) and infrahyoid myocutaneous flap (IHMCF) after hemiglossectomy for their tongue cancers, and to figure out an optimal reconstructive method for the defects resulted from hemiglossectomy.METHODSA non-randomized case-control study was performed on 24 patients with tongue squamous cell carcinoma who underwent a standard hemiglossectomy combined with perfectly tongue reconstruction from June 2005 to June 2012. All of the cases were without tongue base invasion. Of the 24 cases, 19 had T2 disease, 5 had T3 disease, and they were divided into RFF group (n=10) and IHMCF group (n=14). The quality of life were evaluated one year after operation using EORTC-QLQ30 and FACT-H&N35 and compared between the two groups.RESULTSThe scores were comparable between the two group with regard to all domains of EORTC-QLQ30,with all P values>0.05.The scores of swallowing(P=0.005), speech (P=0.008), teeth (P=0.014), and cough (P=0.009) domains were significantly higher in IHMCF group than in RFF group, with P value of 0.005, 0.008, 0.014 and 0.009 respectively, while the other domains of FACT-H&N35 were comparable between the two groups, with allP values>0.05.CONCLUSIONOverall quality of life was similar in the two groups. Oral function domains were better in IHMCF group than in RFF group. When guarantee of flap survival is available, IHMCF could be used as a good alternative flap to RFF in tongue reconstruction after hemiglossectomy.
