V-Y推进联合舌菱形瓣带口底肌肉蒂在舌背 前区缺损重建中的应用

The Application of V-Y Advancement Combined with a Lingual Rhomboid Flap with a Floor of Mouth Muscle Pedicle for Reconstruction of Anterior Dorsal Tongue Defects

摘要: 目的：探讨V-Y推进联合舌菱形瓣带口底肌肉蒂在舌背区缺损术后缺损重建中的临床应用价值。方法：对2例舌癌患者在原发灶切除后利用舌菱形组织瓣 + V-Y推进修复舌前部缺损和舌体形态重建，术后随访评价舌体功能恢复情况。结果：舌瓣无明显萎缩，舌体运动良好，患者的言语、咀嚼、吞咽功能满意。结论：舌菱形组织瓣 + V-Y推进修复舌癌切除术后舌前部缺损手术设计符合舌的解剖生理特点，手术相对简单、安全，术后功能恢复较好。

Abstract: Objective: To explore the clinical value of V-Y advancement and tongue rhomboid flap in the reconstruction of defects after tongue cancer surgery. Methods: Two cases of tongue cancer patients underwent tongue rhomboid tissue flap and V-Y advancement to repair the anterior tongue defect and reconstruct the tongue morphology after the resection of the primary lesion. Postoperative follow-up evaluations were conducted to assess tongue function recovery. Results: The tongue flap showed no obvious shrinkage, and the tongue movement was good. The patients were satisfied with their speech, chewing, and swallowing functions. Conclusion: The surgical design of using tongue rhomboid tissue flap and V-Y advancement to repair the anterior tongue defect after tongue cancer resection is in accordance with the anatomical and physiological characteristics of the tongue. The surgery is relatively simple and safe, and postoperative function recovery is good.