使用頦下島狀皮瓣重建口腔手術後缺損－二病例報告

Reconstruction of Post-operation Oral Defect with Submental Island Flap-Report of Two Cases

葉齊(Chi Yeh) ； 周厚江(Hou-Chiang Chou) ； 楊濡瑄(Ju-Hsuan Yang) ； 林秉毅(Pin-Yi Lin) ； 胡廣煜(Kwuang-Yu Hu) ； 郭英雄(Ying-Shiung Kuo)

《臺灣口腔顎面外科學會雜誌》 31卷4期 (2020/12) Pp. 291-297

摘要

現今口腔鱗狀上皮細胞癌的治療主流方式為手術切除。但因口腔是人類發音及吞嚥的重要器官，在經過腫瘤廣泛切除後，必定因犧牲口腔内部分肌肉、骨骼及軟組織而受到不同程度的影響，進而影響術後的生活品質。鑑於上述原因，重建的目的應包含幫助傷口癒合及恢復功能。即便現在對於口腔癌重建是以游離皮瓣為主流，局部皮瓣在一些特定情況下仍可以替代游離皮瓣，特別是在患者不適合使用游離皮瓣以及術後缺損部位範圍較小的時候。頦下島狀皮瓣因製備容易，故常用於口腔缺損的重建。本文描述二位以頦下島狀皮瓣重建口腔内缺損之病例。

關鍵字

口腔鱗狀上皮細胞癌 ； 口腔癌重建 ； 頦下島狀皮瓣

並列摘要

The mainstream of treatment for oral squamous cell carcinoma is surgical intervention. Because oral cavity is the main organ for speech and swallowing, wide excision of oral cavity tumor might sacrifice masticatory muscles, jaw bone and soft tissue, which causes a significant impact on quality of life. In light of the morbidity after resection, the aim of the reconstruction should include adequate wound healing and successful functional rehabilitation. In the era of free tissue transfer for oral cancer reconstruction, the application of local flap still serves as the substitute under certain circumstances, especially in medically compromised patients and in patients with smaller defects. The submental island flap is frequently performed for reconstruction of oral cavity defects because of its feasibility. In this manuscript we present two cases of reconstruction of oral defects with submental island flap.

並列關鍵字

Oral squamous cell carcinoma ； Reconstruction of oral cancer ； Submental island flap