The Application Value of Submental Island in the Repair of Soft Tissue Defects in Oral Cancer Patients After Radical Resection
Objective To investigate the application value of submental island valve(SMIF)in the repair of soft tissue defects after radical resection of oral cancer(OC).Methods Select 100 patients with soft tissue defects after OC radical surgery and were divided into the control group(50 cases)and the observation group(50 cases)using a random number table method.The control group performed anastomotic vascular free forearm flap repair,and the observation group performed SMIF repair,which was observed at 3 months after surgery in both groups.Surgery-related indicators,oral opening degree,swallowing and masticatory func-tion,quality of life,and complications were compared between the 2 groups.Results The intraoperative bleeding volume in the observation group[(242.84±12.78)ml]was less than that in the control group[(326.75±14.69)ml],Surgery and length of stay[(356.93±16.27)min,(13.29±2.82)d]were shorter than the control group[(448.65±17.84)min,(17.48±3.46)d],However,the complication rate[6.00%(3/50)]was lower than that of the control group[20.00%(10/50)],there had statistical difference(P<0.05);Before and after surgery,Compared with the scores of the 2 dimensions of oral openness,swallo-wing and masticatory function,and quality of life comprehensive assessment questionnaire(GQOLI-74),there had no statistical difference(P>0.05);However,after the surgery,The scores of oral opening,swallowing and masticatory function and all dimen-sions within GQOLI-74 were higher than the preoperative scores,there had statistical difference(P<0.05).Conclusion Both SMIF and anastomotic vascular free forearm flap repair can effectively improve the oral opening of patients with radical OC,and improve their swallowing and masticatory function and quality of life.However,the SMIF repair has the advantages of lower bleed-ing volume,shorter operation and hospital stay,and fewer complications,which is worth clinical implementation.
Oral cancer(OC)Soft tissue defectSubmental island valve repairOral openingQuality of lifeSwallowing function
万方数据
维普
