Tạo hình khuyết hổng bằng vạt scip sau phẫu thuật cắt nửa lưỡi do ung thư tại bệnh viện trung ương huế cơ sở 2: nhân 1 trường hợp

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Tác giả: Man Truong Phu Ho, Thanh Xuan Nguyen, Xuan Hung Nguyen, Canh Duy Phan, Nhat Huy Tran, Xuan Phu Tran

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2020

Mô tả vật lý: tr.18-22

Bộ sưu tập: Metadata

ID: 379316

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Mục tiêu: Đánh giá hiệu quả của vạt SCIP trong tạo hình khuyết hổng sau phẫu thuật cắt bán phần lưỡi do ung thư. Phương pháp: Tác giả báo cáo 1 trường hợp lâm sàng sử dụng vạt SCIP để tái tạo cho bệnh nhân khuyết hổng nữa lưỡi sau phẫu thuật ung thư lưỡi tại khoa Ung bướu Bệnh viện Trung ương Huế cơ sở 2. Kết quả: Sau phẫu thuật, bệnh nhân không có tình trạng tụ dịch, nhiễm trùng vết mổ và chảy máu sau mổ, vạt sống tốt. Rút sonde dạ dày sau 10 ngày và xuất viện sau 2 tuần. Đánh giá về mặt chức năng (nói, nuốt) cũng như thẩm mỹ của lưỡi (sự cân xứng) đều có sự cải thiện đáng kể theo các mốc thời gian 1 tháng, 3 tháng và 6 tháng. Kết luận: Vạt SCIP là 1 sự lựa chọn cho các bệnh nhân có khuyết hổng lớn vùng lưỡi sàn miệng, vừa đảm bảo về mặt chức năng cũng như thẩm mỹ cho lưỡi sau tái tạo và cho vị trí lấy vạt. Nhược điểm của vạt là chiều dài cuống vạt ở mức trung bình, đường kính ĐM và TM nhỏ.Objective: This study to evaluate the effectiveness of superficial circumflex iliac artery perforator (SCIP)flap in reconstruction after hemiglossectomy due to cancer.Method: The author reports a clinical case using SCIP flap to reconstruct tongue of the patient withhalf-tongue defects after tongue cancer surgery at Oncology-Palliative care Department of Hue CentralHospital branch 2 Result: The patient did not have accumulating of liquid, wound infection and bleeding after surgery,the flap survived well. The patient was taken nasogastric tube out after ten days and discharged aftertwo weeks. Postoperative functional assessments (speech, swallowing) as well as aesthetic of tongue(symmetry) have significant improvement over the 1 month, 3 months and 6 months.Conclusion: SCIP flap is a choice for the patients with large flaws at tongue and floor of the mouth. Itensures both functional and aesthetic for the regenerative tongue and donor-site. The disadvantage of theflap: the length of the flap is moderate, the diameter of the arteries and veins is small

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