Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma

doi:10.19438/j.cjoms.2020.02.005

Abstract

Abstract: PURPOSE： The purpose of this study was to evaluate the outcomes of younger and older patients with tongue cancer using facial-submental artery island flap (FSAIF). METHODS: This study evaluated 96 patients with tongue squamous cell carcinoma (TSCC) who underwent FSAIF for reconstructing the hemitongue following cancer ablation. They were divided into two groups, namely < 60 years (n=62) and ≥ 60 years (n=34) age group. The skin paddles were 3 cm×6 cm-5 cm×12 cm (<60 years ) and 3 cm×9 cm-5 cm×15 cm (≥60 years) in size, respectively. None of the patients underwent radiotherapy. All the patients were followed up and their postoperative status were observed including swallowing, speech function, and aesthetic effects. Statistical analysis was performed using SPSS 20.0 software package. RESULTS: The flap success rate was 96.9% and there was no significant difference in the rate of flap success between the two groups. No differences in swallowing, speech, aesthetic outcome and living status were observed between the two groups. CONCLUSIONS: FSAIF is suitable for reconstructing the hemitongue following cancer ablation, no matter in young or old patients.

Key words: Tongue squamous cell carcinoma, Facial-submental, Island flap, Hemitongue

CLC Number:

R782.2

CHEN Yong-ju, CHEN Wei-liang, ZHOU Bin, ZHONG Jiang-long, WANG Yan, CHEN Rui.. Comparison of facial-submental artery island flap for repairing younger and older patients with tongue squamous cell carcinoma[J]. China Journal of Oral and Maxillofacial Surgery, 2020, 18(2): 117-121.

References

[1] Dos Santos Costa SF, Brennan PA, Gomez RS, et al. Molecular basis of oral squamous cell carcinoma in young patients: Is it any different from older patients ?[J]. J Oral Pathol Med, 2018, 47(6): 541-546.
[2] Hilly O, Shkedy Y, Hod R, et al.Carcinoma of the oral tongue in patients younger than 30 years: comparison with patients older than 60 years[J]. Oral Oncol, 2013, 49(10): 987-990.
[3] Hamelinck VC, Bastiaannet E, Pieterse AH, et al.Preferred and perceived participation of younger and older patients in decision making about treatment for early breast cancer: A prospective study[J]. Clin Breast Cancer, 2018, 18(2): e245-e253.
[4] Chen WL, Li JS, Yang ZH, et al.Two submental island flaps for reconstructing oral and maxillofacial defects following cancer ablation[J]. J Oral Maxillofac Surg, 2008, 66(6): 1145-1156.
[5] 杨朝晖, 陈伟良, 李劲松, 等. 应用面动脉-颏下动脉岛状肌皮瓣修复舌癌术后缺损[J]. 中国口腔颌面外科杂志, 2009, 7(1): 15-17.
[6] WHO website. Proposed working definition of an older person in Africa for the MDS Project [DB/OL]. http://www.who.int/healthinfo/survey/ageingdefnolder/en/index.html.
[7] Edge SB, Byrd DR, Compton CC.AJCC cancer staging manual[M]. 7th Ed. New York (NY): Springer-Verlag, 2010.
[8] WHO website. International statistical classification of diseases and related health problems. 10th revision, 2010[DB/OL]. http://apps.who.int/ classifications/icd10/browse/2010/en.
[9] Chen WL, Zhang DM, Yang ZH, et al.Functional hemitongue reconstruction using innervated supraclavicular fasciocutaneous island flaps with the cervical plexus and reinnervated supraclavicular fasciocutaneous island flaps with neurorrhaphy of the cervical plexus and lingual nerve[J]. Head Neck, 2014, 36(1): 66-70.
[10] 张陈平. 口腔颌面头颈肿瘤诊治规范的思考[C]. 重庆: 第十四次中国口腔颌面外科学术会议, 2018.
[11] Martin D, Pascal JF, Baudet J, et al.The submental island flap: a new donor site. Anatomy and clinical applications as a free orpedicled flap[J]. Plast Reconstr Surg, 1993, 92(5): 867-873.
[12] Rahpeyma A, Khajehahmadi S, Razmara F.Submental flap in intraoral reconstruction after pathologic resections: indications and limitations[J]. J Maxillofac Oral Surg, 2015, 14(1): 57-62.
[13] Schonauer F, Di Martino A, Nele G, et al.Submental flap as an alternative to microsurgical flap in intraoral post-oncological reconstruction in the elderly[J]. Int J Surg, 2016, 33(Suppl 1): S51-56.
[14] Ferrari S, Copelli C, Bianchi B, et al.The submental island flap: Pedicle elongation and indications in head and neck reconstruction[J]. J Craniomaxillofac Surg, 2014, 42(6): 1005-1009.
[15] Zhang B, Wang JG, Chen WL, et al.Reverse facial-submental artery island flap for reconstruction of oropharyngeal defects following middle and advanced-stage carcinoma ablation[J]. Br J Oral Maxillofac Surg, 2011, 49(3): 190-197.
[16] Abouchadi A, Capon-Degardin N, Patenôtre P, et al.The submental flap in facial reconstruction: advantages and limitations[J]. J Oral Maxillofac Surg, 2007, 65(5): 863-869.
[17] 中华口腔医学会口腔颌面外科专业委员会肿瘤学组. 口腔颌面部恶性肿瘤治疗指南[J]. 中国口腔颌面外科杂志, 2010, 8(2): 98-106.