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采用新的术式对8例舌根癌患者行舌根癌根治性切除的同时,对所保留的舌前2/3舌剩余肌行舌下神经-舌神经移位移植,并同期修复舌根缺损(3例用前臂游离皮瓣,5例用带蒂胸大肌皮瓣);皮瓣、肌皮瓣全部成活;舌剩余肌、粘膜除1例部分坏死外,其余均成活,舌剩余肌保留长度4~7cm。从舌动力性恢复可见:术后早期舌根修复后外形满意,舌体前伸无受限,仅向患侧及上翘时受限;术后6月以后,患侧触压觉、冷热觉恢复。运动神经肌电测定:部分患者术后6月起出现自发肌电;口腔气流压测定:实验组患者的鼓气、吮吸及吞咽气流压值均低于对照组,但术后其恢复率随时间延长不断上升。所有患者近期效果满意
A total of 8 cases of tongue-gland carcinoma were performed radical resection of the tongue root with a new surgical procedure. Transplantation of the hypoglossal nerve-lingual nerve was performed on the remaining 2/3 of the reserved tongue and the tongue base defect was repaired at the same time 5 cases with pedunculated pectoralis major myocutaneous flap); the flaps and myocutaneous flaps all survived; the remaining muscle and mucosa of the tongue survived in addition to one case with necrosis, while the rest of the tongue retained the length of 4 ~ 7cm. From the dynamic recovery of the tongue can be seen: the shape of the tongue after the early postoperative recovery tongue satisfaction, tongue extension is not limited to the affected ipsilateral and limited up; after 6 months after the ipsilateral touch pressure sensation, cold sensation restore. Motor neuromuscular test: Some patients had spontaneous myoelectricity since June; Oral air pressure measured: the experimental group of patients were lower than the control group, but the rate of recovery after surgery with time Prolonging the rise. All patients satisfied with the recent results