Comparison of the clinical outcome of defect reconstruction after oral cancer resection using forearm flap and trapezius myocutaneous flap pedicled with the transverse cervical artery
10.3760/cma.j.issn.1009-4598.2018.02.009
- VernacularTitle: 前臂皮瓣及颈横血管蒂斜方肌肌皮瓣在口腔癌切除术后缺损修复中的应用比较
- Author:
Donghui SONG
1
;
Ke ZHENG
;
Weiqin GU
;
Senbin WU
;
Jihua WANG
;
Jiang ZHU
Author Information
1. Affiliated Hospital of Nantong University, Nantong 226001, China
- Publication Type:Clinical Trail
- Keywords:
Surgical flaps;
Forearm;
Trapezius muscle;
Transverse cervical artery;
Mouth neoplasms
- From:
Chinese Journal of Plastic Surgery
2018;34(2):119-123
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare and analyze the effects of forearm flap and superior trapezius myocutaneous flap in repairing oral cancer defects.
Methods:56 cases of defect repair after oral cancer radical surgery were treated with the forearm flap (29 cases) and superior trapezius myocutaneous flap (27 cases). The success rate, postoperative quality of life and postoperative recovery time of the two groups were compared. The t-test was used for statistical analysis.
Results:The success rate of forearm flap group was 96.6%(28/29) compared to 96.3%(26/27) in the trapezius myocutaneous flap group (P=0.920). The postoperative recovery time was (9.4±2.7) d (forearm flap group) and (9.3±2.6) d (trapezius myocutaneous flap group), respectively (P=0.489). The score of postoperative quality of life was 576.3±76.2 (forearm flap group) and 568.4±79.3 (trapezius myocutaneous flap group), respectively (P=0.471). There was no significant difference in all comparisons (P>0.05).
Conclusions:The free forearm flap and the superior trapezius myocutaneous flap pedicled with the transverse cervical artery can be used to repair the oral cancer, and satisfactory function and ideal clinical effect can be achieved. Both two kinds of flaps have high success rate and good clinical practical value. The latter has little influence on the donor site, and can be used as the first choice.
