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舌癌患者通常需要切除大部分舌组织,同时做颈部清扫还要切除大部分舌骨上肌群,造成严重的发音、进食和吞咽困难。本文介绍了使用带有第十肋间神经的腹直肌肌皮瓣进行这种类型损伤的功能重建的方法。 材料和方法 TNM分类为T3N2cM0的舌和口底的鳞状细胞癌患者,切除大部分的舌组织和口底,同时进行两侧颈部清扫和舌骨悬吊。肌皮瓣的中心设计在脐周区,这是因为第十肋间神经的皮肤分支
Patients with tongue cancer usually need to remove most of the tongue tissue, while doing neck and neck excision but also remove most of the hyoid muscle group, causing severe pronunciation, eating and swallowing difficulties. This article describes a method of functional reconstruction of this type of injury using the rectus abdominis myocutaneous flap with Tenth intercostal nerve. Materials and Methods Patients with TNM classified as T3N2cM0 tongue and floor squamous cell carcinoma, resected most of the tongue tissue and floor of the mouth, with bilateral neck dissection and hyoid suspension. The center of the musculocutaneous flap is designed in the umbilicus region because of the branching of the skin of the tenth intercostal nerve