Kết quả phẫu thuật tái tạo tổn khuyết sau cắt ung thư lưỡi tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: The study aimed to evaluate the effectiveness of the reconstruction of tongue defects after cancer resection. Subject and method: Retrospective combined prospective description were conducted on 36 patients with confirmed diagnosis of tongue cancer undergoing surgeries of defect resection and reconstruction by different methods at the Centre for Craniofacial and Plastic Surgery – 108 Military Central Hospital, from January 2019 to June 2022. Result: The patients aged between 24-84, average 57.06 years old, have a male/female ration of 3/1. Tongue cancer patients in stages I, II, III, IV were 8.33%; 52.78%, 8.33% and 30.56%, respectively. The simple tongue defect accounted for 30.56%, the remaining was the complex defect of the floor of the mouth, the tonsil column, and the mandible bone. Reconstructive methods of tongue defect after cancer removal included direct suture (30.56%), reconstruction by submental flap (25%), reconstruction by free flap (44.4%). The survival rate of plastic flaps was 100%. There were 5 patients with early complications accounting for 13.8%. Examination after 12 months, normal tongue moving function accounted for 33.3%; normal speaking function accounted for 13.8%, normal swallowing function accounted only for 2.8%. Conclusion: Defects after tongue cancer resection has many different degrees. Depending on the size and composition of the defect, reconstruction methods are appointed suitably. The outcome of rehabilitation depends mainly on the size of the defect in the tongue.