中华老年口腔医学杂志2024,Vol.22Issue(3) :144-147.DOI:10.19749/j.cn.cjgd.1672-2973.2024.03.004

颏下动脉穿支皮瓣修复高龄口腔癌患者术后缺损的临床研究

Clinical study of submental artery perforator flap for repairing postoperative defect in elderly patients with oral cancer

陈默 卓凤 王续纪 郭蕴 李建成
中华老年口腔医学杂志2024,Vol.22Issue(3) :144-147.DOI:10.19749/j.cn.cjgd.1672-2973.2024.03.004

颏下动脉穿支皮瓣修复高龄口腔癌患者术后缺损的临床研究

Clinical study of submental artery perforator flap for repairing postoperative defect in elderly patients with oral cancer

陈默 1卓凤 1王续纪 1郭蕴 1李建成1
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作者信息

  • 1. 233004,蚌埠医学院第一附属医院口腔颌面外科
  • 折叠

摘要

目的 探讨颏下动脉穿支皮瓣(Submental artery perforator flap,SMAPF)修复高龄口腔癌患者术后缺损的临床效果.方法 回顾分析 2019 年 1 月至 2022 年 1 月 14 例应用SMAPF 行口腔癌术后缺损修复的患者(年龄≥80 岁);该 14 例患者围手术期进行多学科会诊(multidisciplinary team,MDT)讨论,并对 14 例应用 SMAPF 修复口腔癌患者情况进行总结.结果 14 例高龄患者应用 SMAPF 修复皮瓣成活率 92.9%;皮瓣制备(包括颈部淋巴结清扫)时间 1 小时 30 分钟~2 小时 55 分钟,平均 2 小时 16 分钟;围手术期发生并发症65.4%,无 1 例患者死亡;术后随访 1 例患者肺部转移,2 例患者死于其它疾病.结论 应用颏下动脉穿支皮瓣修复高龄口腔癌患者取得了较好的临床效果.

Abstract

Objective To investigate the clinical effect of Submental artery perforator flap(SMAPF)in repairing postoperative defects in elderly patients with oral cancer.Methods From January 2019 to January 2022,14 patients(aged≥80 years)with oral cancer undergoing defect repair with SMAPF were retrospectively analyzed.The 14 patients were discussed ina multidisciplinary team(MDT)during perioperative period.The results of 14 patients with oral cancer treated with SMAPF were summarized.Results The survival rate of 14 elderly patients with SMAPF was 92.9%.The preparation time of skin flap(including neck lymph node dissection)was 1 hour 30 minutes to 2 hours 55 minutes,with an average of 2 hours 16 minutes.Perioperative complications occurred in 65.4%,and no death occurred.One patient was followed up with lung metastasis and two died of other diseases.Conclusion The application of perforator flap of submental artery to repair elderly patients with oral cancer has achieved good clinical results.

关键词

口腔癌/高龄/多学科/颏下动脉/修复外科

Key words

Oral cancer/Advanced age/Multidisciplinary/Submental artery/Reconstructive surgery

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基金项目

安徽省高校合作攻关和公共卫生协同创新项目(GXXT-2020-021)

出版年

2024
中华老年口腔医学杂志
解放军总医院 口腔医学教研室

中华老年口腔医学杂志

CSTPCD
影响因子:1.169
ISSN:1672-2973
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