Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy
Abstract Objective Tongue defect reconstruction is one of the key components of tongue cancer surgery. In this study, we used an L-shaped flap design adopted as a simple and efficient method to repair tongue defects after hemiglossectomy. Furthermore, we evaluated and contrasted the clinical effects...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01473-7 |
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| author | Xi Rui Zixian Huang Jiyuan Zuo Yan Wang Qixiang Liang Tingting Jin Jianguang Wang Shaohai Chang Zhiquan Huang |
| author_facet | Xi Rui Zixian Huang Jiyuan Zuo Yan Wang Qixiang Liang Tingting Jin Jianguang Wang Shaohai Chang Zhiquan Huang |
| author_sort | Xi Rui |
| collection | DOAJ |
| description | Abstract Objective Tongue defect reconstruction is one of the key components of tongue cancer surgery. In this study, we used an L-shaped flap design adopted as a simple and efficient method to repair tongue defects after hemiglossectomy. Furthermore, we evaluated and contrasted the clinical effects of two methods, the L-shaped and traditional methods. Study design Fifteen patients in the L-shaped group and 20 patients in the traditional group were evaluated and compared in terms of postoperative complications, dysphagia, language function and appearance satisfaction. Results The results (Table 1) showed that there were 2 cases of donor area invalid traumas, and 2 patients had scar hyperplasia in the traditional group. The degree of global and functional dysphagia of the L-shaped group (2.60 ± 0.29 and 11.47 ± 1.38) was lower than that of the traditional group (3.55 ± 0.29 and 15.75 ± 1.22) (P < 0.05). In the language evaluation, the traditional group (3.20 ± 0.26) had lower scores than the L-shaped group (4.13 ± 0.30) (P < 0.05). Conclusion The L-shaped ALTP flap is a simple and efficient modification of ALTP, that can be used for half-tongue repair after radical operations for tongue cancer. It has better performance in the recovery of dysphagia and language function than the traditional ALTP flap. |
| first_indexed | 2024-12-23T23:38:27Z |
| format | Article |
| id | doaj.art-35480a01b689433791420ec76c5329ba |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-23T23:38:27Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-35480a01b689433791420ec76c5329ba2022-12-21T17:25:47ZengBMCBMC Surgery1471-24822022-01-0122111010.1186/s12893-022-01473-7Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomyXi Rui0Zixian Huang1Jiyuan Zuo2Yan Wang3Qixiang Liang4Tingting Jin5Jianguang Wang6Shaohai Chang7Zhiquan Huang8Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityGuangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Stomatology, The Third Affiliated Hospital, Sun Yat-Sen UniversityDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Stomatology, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen UniversityAbstract Objective Tongue defect reconstruction is one of the key components of tongue cancer surgery. In this study, we used an L-shaped flap design adopted as a simple and efficient method to repair tongue defects after hemiglossectomy. Furthermore, we evaluated and contrasted the clinical effects of two methods, the L-shaped and traditional methods. Study design Fifteen patients in the L-shaped group and 20 patients in the traditional group were evaluated and compared in terms of postoperative complications, dysphagia, language function and appearance satisfaction. Results The results (Table 1) showed that there were 2 cases of donor area invalid traumas, and 2 patients had scar hyperplasia in the traditional group. The degree of global and functional dysphagia of the L-shaped group (2.60 ± 0.29 and 11.47 ± 1.38) was lower than that of the traditional group (3.55 ± 0.29 and 15.75 ± 1.22) (P < 0.05). In the language evaluation, the traditional group (3.20 ± 0.26) had lower scores than the L-shaped group (4.13 ± 0.30) (P < 0.05). Conclusion The L-shaped ALTP flap is a simple and efficient modification of ALTP, that can be used for half-tongue repair after radical operations for tongue cancer. It has better performance in the recovery of dysphagia and language function than the traditional ALTP flap.https://doi.org/10.1186/s12893-022-01473-7Anterolateral thigh perforator flapTongue cancerHemiglossectomyTongue reconstructionPostoperative function |
| spellingShingle | Xi Rui Zixian Huang Jiyuan Zuo Yan Wang Qixiang Liang Tingting Jin Jianguang Wang Shaohai Chang Zhiquan Huang Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy BMC Surgery Anterolateral thigh perforator flap Tongue cancer Hemiglossectomy Tongue reconstruction Postoperative function |
| title | Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| title_full | Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| title_fullStr | Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| title_full_unstemmed | Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| title_short | Application of an L-shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| title_sort | application of an l shaped anterolateral thigh flap in reconstruction after hemiglossectomy |
| topic | Anterolateral thigh perforator flap Tongue cancer Hemiglossectomy Tongue reconstruction Postoperative function |
| url | https://doi.org/10.1186/s12893-022-01473-7 |
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