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Publishing Language: Chinese | Open Access

Comparison of the clinical effect of a facial-submental artery island flap in reconstruction after resection of oral cavity and oropharyngeal squamous cell carcinoma

Kaifang YUAN, Weiliang CHEN( ), Bin ZHOU, Daming ZHANG
Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital of Sun Yat - sen University, Guangzhou 510000, China
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Abstract

Objective

To compare the clinical effect of the reconstruction of defects of the surgical area with the facial-submental artery island flap (FSAIF) after resection of oral cavity squamous cell carcinoma (OC-SCC) and oropharyngeal squamous cell carcinoma (OP-SCC).

Methods

A total of 203 cases of oral cavity squamous cell carcinoma and 72 cases of oropharyngeal squamous cell carcinoma were treated with the FSAIFs. The complications and success rate of the two groups were observed. The swallowing and voice functions of the two groups were evaluated and compared 6 months after the operation. The survival of the two groups was followed up.

Results

No significant differences were found in TNM stage, the skin paddle of the flap, the rate of flap failure, or local complications between the OC-SCC and OP-SCC groups (P > 0.05). Significant differences in swallowing and speech outcomes were observed between the groups (P < 0.05). No significant differences were found in survival outcome between the groups after 9-59 months of follow-up.

Conclusion

FSAIF can be used for reconstructing the defect in oral cavity or oropharynx, but the swallowing function of reconstructing the defect in oropharynx is poor.

Keywords

oral cavityoropharynxsquamous cellscancertumoroperative defectfacial-submental artery island flappedicle flapfunctional reconstructionswallowing functionspeech functionprognosis
CLC number: R782.2 Document code: A Article ID: 2096-1456(2020)02-0084-04

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Journal of Prevention and Treatment for Stomatological Diseases
Volume 28 Issue 2,
February 2020
Pages 84-87
DOI: 10.12016/j.issn.2096-1456.2020.02.004

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YUAN K, CHEN W, ZHOU B, et al. Comparison of the clinical effect of a facial-submental artery island flap in reconstruction after resection of oral cavity and oropharyngeal squamous cell carcinoma. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(2): 84-87. https://doi.org/10.12016/j.issn.2096-1456.2020.02.004

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Received: 18 April 2019
Revised: 01 September 2019
Published: 20 February 2020
© 2020 by Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases

This article is licensed under a Creative Commons Attribution 4.0 International License.