PMID: 20135979Feb 9, 2010Paper

Free anterolateral thigh myocutaneous flap for reconstruction of soft tissue defects following en block resection of tongue cancer

Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
Jin-bing LiuKai Wang

Abstract

To evaluate the results of the reconstruction of the soft tissue defects following the en block resection of tongue cancer using free anterolateral thigh myocutaneous flaps. From November 2006 to December 2008, 109 cases underwent the reconstruction of the soft tissue defects following the en block resection of tongue cancer using free anterolateral thigh myocutaneous flaps. There were 75 males and 34 females with an age of 23-75 years (50.4 years on average). The disease course was 1-6 months. According to 2002 International Union Control Cancer (IUCC) criterion for TNM stage, there were 35 cases of T2N0M0, 8 cases of T2N1M0, 2 cases of T2N2M0, 31 cases of T3N0M0, 12 cases of T3N1M0, 7 cases of T3N2M0, 5 cases of T4N0M0, 4 cases of T4N1M0, 3 cases of T4N2M0, and 2 cases of T4N3M0. The range of tongue defect was 5 cm x 3 cm to 12 cm x 8 cm. The flap area ranged from 7 cm x 4 cm to 20 cm x 8 cm. Eighty-two patients with T3, T4 and positive lymph node metastasis determined by pathological examination after operation received radiotherapy. The vitality of the flaps and the healing of the wounds were observed postoperatively. The shape and function of the reconstructed tongue were determined, the influences on function at donor sit...Continue Reading

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