METHODS: Six patients underwent subtotal tongue reconstruction with neurotized PAP flaps at the authors\' institution from May 2022 until August 2023. A branch of the posterior femoral cutaneous nerve of the PAP flap was coaptated to the lingual nerve. Two-point discrimination, Semmes-Weinstein monofilament, pain, and temperature assessments were conducted at 3, 6, and 12 months postoperatively on the neo-tongue. The MD Anderson speech and deglutition scales and the EORTC-QLQ-H&N35 were used to record functional outcomes and QOL.
RESULTS: The mean age was 69 ± 4 years, and the mean body mass index was 25 ± 7 kg/m2. Neo-tongue median 2-point discrimination at the tip improved from >10 mm at 3 months to 6 mm at 12 months. All patients had protective pain and temperature perception at the neo-tongue tip at the 6-month follow-up. Speech and swallowing functions were similar at the 12-month follow-up to data on neurotized ALT flaps from literature. No neuropathic pain was reported at the donor site at the 6-month follow-up.
CONCLUSIONS: This is the first case series of PAP flap neurotization in head and neck patients, suggesting potential functional advantages with minimal donor-site morbidity.
METHODS: V Case Series.
方法:从2022年5月至2023年8月,6例患者在作者机构接受了神经化PAP皮瓣的次全舌头重建。PAP皮瓣的股后皮神经分支与舌神经结合。两点歧视,Semmes-Weinstein单丝,疼痛,术后3个月,6个月和12个月对新舌进行体温评估.MDAnderson言语和吞咽量表以及EORTC-QLQ-H和N35用于记录功能结果和生活质量。
结果:平均年龄为69±4岁,平均体重指数为25±7kg/m2。新舌尖端的中位数2点辨别从3个月时的>10毫米提高到12个月时的6毫米。在6个月的随访中,所有患者的新舌尖均具有保护性疼痛和温度感知。在12个月的随访中,言语和吞咽功能与文献中神经化ALT皮瓣的数据相似。在6个月的随访中,供体部位没有神经性疼痛的报道。
结论:这是头颈部患者PAP皮瓣神经化的首例系列病例,提示潜在的功能优势与最小的供体部位发病率。
方法:VCase系列。