doi:10.19438/j.cjoms.2019.06.005

Abstract

Abstract: PURPOSE: To explore a new flap design technique called "five-point eight-line segment(FIPELS)" for precise hemiglossal reconstruction and to compare the treatment outcomes between "FIPELS" and conventional flap design. METHODS: Eighty patients were randomly divided into 2 groups, FIPELS group (42 patients) and a conventional flap design group(38 patients). Likert scale was applied to assess the functional and cosmetic outcomes. The outcomes were analyzed by SPSS 18.0 software package. RESULTS: FIPELS group had less operation time (P=0.02) due to the excellent match to hemiglossal defects without flap trimming. Swallowing functions, speech articulation, and cosmetic outcomes were superior to conventional group (P<0.05). CONCLUSIONS: Compared to conventional flap design, FIPELS technique yields improved functional and cosmetic outcomes.

Key words: Five-point eight-line segment flap design, Anterolateral thigh flap, Kissing radial forearm flap, Tongue reconstruction

CLC Number:

R782.2

WANG Jie-qi, LIAO Jun-kun, ZHONG Jiang-long, ZHANG Han-qing, LI Qun-xing, WANG Zhang-song, FANG Ze-zhen, FAN Song, LI Jin-song. "Five-point eight-line" anatomic flap design for precise hemiglossal reconstruction: evaluation of clinical outcomes[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(6): 508-512.

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"Five-point eight-line" anatomic flap design for precise hemiglossal reconstruction: evaluation of clinical outcomes

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