|Table of Contents|

Comparison of two kinds of flaps pedicled with transverse carotid artery for the reconstruction after oral cancer surgery in the elderly patients

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2023 12
Page:
2234-2238
Research Field:
Publishing date:

Info

Title:
Comparison of two kinds of flaps pedicled with transverse carotid artery for the reconstruction after oral cancer surgery in the elderly patients
Author(s):
JIA Baolin1; WU Xiaojuan2; YANG Sen1
1.Department of Oral and Maxillofacial Surgery;2.Department of Respiratory and Critical Care Medicine,Suining Central Hospital,Sichuan Suining 629000,China.
Keywords:
the elderly; oral cancer; flap; reconstruction
PACS:
R739.8
DOI:
10.3969/j.issn.1672-4992.2023.12.011
Abstract:
Objective:To investigate the effects of two kinds of flaps pedicled with transverse carotid artery for the reconstruction after oral cancer surgery.Methods:From March 2021 to March 2022,39 patients diagnosed with oral cancer by department of oral and maxillofacial surgery of Suining Central Hospital and received flap transplantation were included.There were 15 cases in the superior clavicular artery group and 24 cases in the superior trapezius muscle group.We observed and recorded the ratio of survival flap,as well as the morphological and functional recovery of the donor site.Results:The total survival rate of flaps in 39 patients was 89.74%(35/39).The survival rate in the flap of superior clavicular artery group was 80.00%(12/15) and the survival rate in the flap of superior trapezius muscle group was 95.83%(23/24).There was no significant difference in the survival rate between the two groups (P>0.05).At the same time,there were no significant difference in the flap taking time,flap size,hospital stay and repair part between two groups (P>0.05).However,the postoperative complications such as the infection,scar,pigmentation and dysfunction in the superior clavicular artery group were lower than that in the superior trapezius muscle group (P<0.05).The patients were followed up for 6 months and the patients in the two groups achieved good clinical results.The difference in the scores of QOL post-surgery between the two groups was not statistically significant (P>0.05).Conclusion:Both the superior clavicular artery flap and the superior trapezius muscle flap can be used as reliable flaps for the repair of postoperative ablation in elderly patients with oral cancer.However,in terms of complications,the superior clavicular artery flap is better than the superior trapezius muscle flap.

References:

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Memo

Memo:
四川省卫生健康委员会科技项目（适宜技术基地）（编号:2022JDXM021）；四川省中医药管理局面上项目（编号：2021MS100）
Last Update: 1900-01-01