Avtor/Urednik     Fischinger, Janez
Naslov     Rekonstrukcija defektov prednjega dela ustnega dna s centralnim otočnim vezanim režnjem jezika
Prevedeni naslov     Reconstruction of anterior floor of the mouth defects with a central island pedicled tongue flap
Tip     članek
Vir     Med Razgl
Vol. in št.     Letnik 39, št. Suppl 3
Leto izdaje     2000
Obseg     str. 33-7
Jezik     slo
Abstrakt     Different reconstruction methods are used for the reparation of defects caused by the excision of large T2 and small T1 carcinoma in the anterior floor of the mouth. Reconstruction using a central pedicled island tongue flap is not a new method. The indications and technique of this method are described. A slight modification to the original technique has been made. The modification consists of a 90 degrees rotation of the pedicle before suturing the flap into the defect of the floor of the mouth. Our present experience consists of seven cases. Despite the small number of patients who were treated with this method at our clinic, the results so far have been good. The advantages of a central pedicled tongue flap are that surgery is easy to perform and that its results with respect to recovery of function and cosmetic effects are good. In our opinion, this technique does not enjoy the popularity it deserves.
Izvleček     Za rekonstrukcijo defekta sprednjega dela ustnega dna po eksciziji večjih T1 in manjših T2 karcinomov se uporablja različne kirurške metode. Rekonstrukcija s centralnim otočnim vezanim režnjem jezika ni nekaj novega. Opisane so indikacije in kirurška tehnika ter naša, manjša modifikacija te metode. Izvirno metodo smo priredili tako, da smo reženj jezika pred všitjem v defekt ustnega dna rotirali za 90 stopinj ter tako dosegli primernejšo adaptacijo režnja. Menimo, da to metodo lahko ocenimo kot dobro, čeprav imamo z njo izkušnje šele pri 7 bolnikih. Prednost rekonstrukcije ustnega dna s centralnim režnjem jezika je enostavnost posega in dejstvo, da bolnik po operaciji nima funkcionalnih in estetskih motenj. Metode, žal, še danes povsod ne uporabljajo, čeprav bi si to zaslužila.
Deskriptorji     MOUTH NEOPLASMS
MOUTH FLOOR
SURGERY, PLASTIC
SURGICAL FLAPS
TONGUE
TREATMENT OUTCOME
PEDICULUS