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目的:探讨舌骨下肌皮瓣在老年口腔癌切除术后缺损修复中的应用价值。方法:回顾分析2005年12月—2010年11月间收治的口腔癌患者19例。男11例,女8例;年龄65～89岁,平均72.8岁。舌癌10例,口底癌6例,颊癌2例,下颌牙龈癌1例。均采用舌骨下肌皮瓣修复术后所致软组织缺损。结果:术后切口均一期愈合,19例舌骨下肌皮瓣全部成活,无1例发生全部或部分皮瓣坏死。患者获得满意的外观和功能。经过6个月～5a的随访,无一例肿瘤复发或远处转移。结论:舌骨下肌皮瓣制备较简单,效果可靠,且成活率高,是老年患者口腔癌修复重建的适用方法。
Objective: To explore the application value of hyoid hyoid muscle flap in the repair of defect after oral cancer resection in the elderly. Methods: A retrospective analysis of 19 patients with oral cancer admitted from December 2005 to November 2010 was performed. 11 males and 8 females; aged 65 to 89 years, mean 72.8 years old. 10 cases of tongue cancer, 6 cases of mouth cancer, 2 cases of cheek cancer, 1 case of mandibular gingival cancer. Sublingual bone flap were used to repair postoperative soft tissue defects. Results: The incisions were healed in one time, all the 19 cases of hyoid muscle flap survived, and none or all of the flap necrosis occurred. Patients get a satisfying look and feel. After 6 months ~ 5a follow-up, no tumor recurrence or distant metastasis. Conclusion: The preparation of hyoid hyoid muscle flap is simple, reliable and has a high survival rate. It is a suitable method for reconstructing oral cancer in elderly patients.