PDF(Pubmed)
Abstract：
In oral cancer surgeries, oncological outcomes take precious driverseat. But the copassengers like reconstruction, cosmesis, swallowing and speech outcomes deserve equivalent importance. Submental Artery Island Flaps (SAIF) provide an underutilized and extremely versatile option for reconstruction of defects following early stage oral cavity tumour resections. In this prospective observational analysis, we describe the technique, challenges and outcomes of SAIF at our tertiary care institute. Sixteen patients with Stage I and II oral cavity cancers were enrolled between June 2020 to May 2021. Verrucous carcinomas were five and well differentiated carcinomas were 11 patients. After tumour excision and neck dissections, defects were reconstructed with Pedicled submental flaps. Complications and functional outcomes were analyzed over two years. Nineteen percent were ladies and 81% were gentlemen. Median age was 52 years. Tongue tumours formed majority with 56% cases. Largest skin paddle taken was 36 cm2. Flap survival was 88%. There were variations in venous drainage of flaps which have been depicted in case figures. There was no report of orocutaneous fistula. Grade 3-4 speech satisfaction was achieved by 81.2% patients at 6 months. Swallowing was excellent, grade 4-5 for 100% of patients at 6 months. One patient had distant metastasis at 7 months and died. SRLR (Submental flap Recurrences) and trismus were zero percent at two years. The unexplored field of submental flaps can be used for oral cancer reconstructions in a versatile way. Donor site easy closures, no scars on face, early resumption of daily activities and short hospital stay makes it one of the ideal options in early stage oral cavity defects.
摘要：
在口腔癌手术中，肿瘤学结果需要宝贵的司机。但是协作者喜欢重建，宇宙，吞咽和言语结果值得同等重视。下动脉岛状皮瓣（SAIF）为早期口腔肿瘤切除术后的缺损重建提供了一种未充分利用且用途广泛的选择。在这个前瞻性观察分析中，我们描述了这种技术，SAIF在我们的高等教育机构的挑战和结果。在2020年6月至2021年5月之间招募了16名I期和II期口腔癌患者。疣状癌为5例，高分化癌为11例。肿瘤切除和颈淋巴结清扫后，缺损是用带蒂下皮瓣重建的。分析了两年来的并发症和功能结果。19%是女士，81%是绅士。中位年龄为52岁。舌癌占多数，占56%。采取的最大的皮肤桨是36cm2。皮瓣存活率为88%。皮瓣的静脉引流存在差异，案例图中已描述。没有皮肤瘘的报道。81.2%的患者在6个月时达到3-4级语音满意度。吞咽很棒，在6个月时，100%的患者为4-5级。1例患者在7个月时发生远处转移并死亡。SRLR（下皮瓣复发）和三联体在两年时为零。未开发的下皮瓣领域可以以多种方式用于口腔癌重建。捐助者网站容易关闭，脸上没有伤疤,早期恢复日常活动和住院时间短使其成为早期口腔缺陷的理想选择之一。
