PDF(Pubmed)
Abstract：
Herein, we present our experience using a single-stage peninsular-shaped lateral tongue flap (pLTF) to cover various intraoral defects and confirm the versatile utility and effective application of pLTF in intraoral defect reconstruction. This study included eight cases (six males and two females; average age 60.3 ± 16.9 years) of intraoral defect reconstruction performed by a single surgeon between August 2020 and May 2023 using the single-stage pLTF technique. Electronic medical records and photographs of the patients were collected and analyzed. The functional intraoral Glasgow scale (FIGS) was used to evaluate preoperative and postoperative tongue function. Defect sizes ranged from 3 cm × 3 cm to 4 cm × 6 cm. Notably, all defects were successfully covered with pLTFs, and the flap sizes ranged between 3 cm × 4.5 cm and 4.5 cm × 7.5 cm. The flaps completely survived without any postoperative complications. At follow-up (average, 9.87 ± 2.74 months), no patient had tumor recurrence or significant tongue functional deficits. The mean preoperative and postoperative FIGS were 14.75 ± 0.46 and 14.00 ± 0.92, respectively (p = 0.059). Thus, the single-stage pLTF technique is a good reconstructive modality for various small to moderate intraoral defect coverage in selected cases for personalized intraoral reconstruction.
摘要：
在这里，我们介绍了使用单级半岛状外侧舌瓣（pLTF）覆盖各种口内缺损的经验，并确认了pLTF在口内缺损重建中的多功能实用性和有效应用。这项研究包括8例（6例男性和2例女性；平均年龄60.3±16.9岁）由一名外科医生在2020年8月至2023年5月之间使用单阶段pLTF技术进行的口内缺损重建。收集并分析患者的电子病历和照片。功能性口内格拉斯哥量表(图)用于评估术前和术后的舌功能。缺陷尺寸范围为3cm×3cm至4cm×6cm。值得注意的是,所有缺陷都成功地用pLTF覆盖，皮瓣大小在3cm×4.5cm至4.5cm×7.5cm之间。皮瓣完全存活，无任何术后并发症。在随访中(平均，9.87±2.74个月)，没有患者出现肿瘤复发或明显的舌功能缺陷.术前和术后的平均值分别为14.75±0.46和14.00±0.92(p=0.059)。因此，单阶段pLTF技术是一种很好的重建方式,可以在选定的个性化口内重建病例中覆盖各种小到中度口内缺损.
