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Abstract：
To compare postoperative complications, functional rehabilitation, surgical outcomes of the radial artery forearm free flap (RAFFF) and split thickness skin graft (STSG) reconstruction of postsurgical defect in T2 lesions of cancer oral cavity. Observational Prospective comparative study. Academic tertiary referral centre. In our study of forty four patients, after tumour resection, half underwent reconstruction using RAFFF (Group I) and another half by STSG (Group II). All of the patients were followed postoperatively to determine and compare their functional outcomes related to donor site and recipient site complications, speech, deglutition and mouth opening. The speech intelligibility and deglutition were each assessed using Articulation Handicap Index and Vedio-fluoroscopy using the Functional oral intake scale. Operative time for STSG reconstruction was shorter at 2.2 ± 0.97 SD hours compared to 5.9 ± 1.24 SD hours for RAFFF reconstruction. Hospital stay was 8.3 ± 1.19 SD days for STSG patients and 12.6 ± 1.7 SD days for RAFFF patients. The functional outcomes of speech quality and swallowing were near comparable in both groups but the donor site complications were significant in the RAFFF group. Operative time, hospital stay and donor site complications are both significantly reduced with the STSG as opposed to RAFF. Functional and oncologic results of both methods are near comparable. To conclude, STSG can be used for reconstruction of the post-surgical defects in T2 lesions of the tongue.
摘要：
为了比较术后并发症，功能康复,radial动脉前臂游离皮瓣（RAFFF）和分裂厚度皮肤移植（STSG）重建癌口腔T2病变术后缺损的手术结果。观察性前瞻性比较研究。学术三级转介中心。在我们对44名患者的研究中，肿瘤切除后，一半使用RAFFF（第一组）进行重建，另一半使用STSG（第二组）进行重建。术后对所有患者进行随访，以确定和比较与供体部位和受体部位并发症相关的功能结果。演讲,吞咽和张嘴。使用发音障碍指数和使用功能性口腔摄入量表进行透视检查，分别评估语音清晰度和吞咽。STSG重建的手术时间为2.2±0.97SD小时，而RAFFF重建的手术时间为5.9±1.24SD小时。STSG患者的住院时间为8.3±1.19SD天，RAFFF患者的住院时间为12.6±1.7SD天。两组的言语质量和吞咽功能结果几乎相当，但RAFFF组的供体部位并发症明显。手术时间,与RAFF相比，STSG的住院时间和供体部位并发症均显着减少。两种方法的功能和肿瘤学结果几乎相当。最后，STSG可用于重建舌头T2病变的术后缺损。
