Abstract: Objective: To review the feasibility and effects applying facial artery island flap for immediate reconstruction of tongue defect. Methods：From January 2009 to January 2012, facial artery island flap of submandibular area were used to repair the tongue defect after radical operation of oral cancer in 12 patients (7 males and 5 females). Follow-up period was 6-36 months. Vascular supply of the flap, the appearances and function were observed. These patients′ general condition and tumor recurrence were checked regularly. Results：Eleven flaps survived completely. One flap showed partial necrosis. Appearance and texture of the tongue were satisfied. The speech and swallowing functions were found to be ideal. Cervical recurrence was found in 1 case. Conclusion：Facial artery island flap of submandibular area is an ideal choice and is a simple and reliable flap, which is suitable to repair partial tongue defect after radical operation．

Key words: facial artery, island flap, tongue defect, repair

摘要： 目的：探讨下颌下区面动脉岛状肌皮瓣修复舌癌根治术后组织缺损的可靠性及效果。方法：选择2009-01—2012-01，韶关市第一人民医院口腔颌面外科收治的舌癌患者12例，其中男性7例，女性5例，全部采用下颌下区面动脉岛状肌皮瓣同期修复舌癌根治性切除术后半舌缺损，术后观察组织瓣成活情况、外形和功能、患者的生存状态以及癌瘤复发等情况。结果：12例患者中，皮瓣完全成活11例，1例皮瓣部分坏死。术后随访6～36个月，患者舌部皮瓣形态、质地良好，语言及吞咽功能理想。1例患者出现颈部肿瘤复发。结论：下颌下区面动脉岛状肌皮瓣可作为半舌缺损修复较理想的皮瓣,该术式简单，易成功，适合同期修复舌癌根治术后半舌缺损。

关键词: 面动脉, 岛状皮瓣, 舌缺损, 修复

CLC Number: 

• R782.4