Comparison of the clinical effect of a facial-submental artery island flap in reconstruction after resection of oral cavity and oropharyngeal squamous cell carcinoma

• Main Authors: YUAN Kaifang, CHEN Weiliang, ZHOU Bin, ZHANG Daming
• Format: Article
• Language: zho
• Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2020-02-01
• Series: 口腔疾病防治
• Subjects: oral cavity，; oropharynx，; squamous cells，; cancer ，; tumor ，; operative defect ，; facial-submental artery island flap，; pedicle flap，; functional reconstruction ，; swallowing function，; speech function，; prognosis，
• Online Access: http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2020.02.004

Objective To compare the clinical effect of the reconstruction of defects of the surgical area with the facial-submental artery island flap (FSAIF) after resection of oral cavity squamous cell carcinoma (OC-SCC) and oropharyngeal squamous cell carcinoma (OP-SCC). Methods A total of 203 cases of oral cavity squamous cell carcinoma and 72 cases of oropharyngeal squamous cell carcinoma were treated with the FSAIFs. The complications and success rate of the two groups were observed. The swallowing and voice functions of the two groups were evaluated and compared 6 months after the operation. The survival of the two groups was followed up. Results No significant differences were found in TNM stage, the skin paddle of the flap, the rate of flap failure, or local complications between the OC-SCC and OP-SCC groups (P > 0.05). Significant differences in swallowing and speech outcomes were observed between the groups (P < 0.05). No significant differences were found in survival outcome between the groups after 9-59 months of follow-up. Conclusion FSAIF can be used for reconstructing the defect in oral cavity or oropharynx, but the swallowing function of reconstructing the defect in oropharynx is poor.