KẾT QUẢ PHẪU THUẬT TẠO HÌNH KHUYẾT HỔNG KHOANG MIỆNG BẰNG VẠT DƯỚI CẰM TRONG ĐIỀU TRỊ UNG THƯ LƯỠI VÀ SÀN MIỆNG TẠI BỆNH VIỆN K

Abstract

Objectives: To evaluate the results of submental flap reconstruction of oral cavity defects in the treatment of tongue and floor of mouth cancer at K Hospital. Subjects and methods: A retrospective cohort study followed up on 67 patients with tongue and floor of mouth cancer who were treated at K Hospital from January 2018 to January 2024. Results: Sixty-seven patients (52 men and 15 women) were enrolled in the study; 40.3% of the patients had a stage II; tongue cancer accounted for 61.2%; and 38.8% had floor of mouth cancer. Histopathology with squamous cell carcinoma: DOI>5mm: 67.2%; 100% of the patients underwent wide excision of the lesion with reconstruction by submental flap and selective neck dissection; 91.0% had good and fairly good surgical results. Conclusion: Cancer of the tongue and floor of the mouth occurs most commonly in men. Surgery was the mainstay of treatment for tongue and floor of mouth cancer. Besides the fact that negative surgical margins can be achieved, the results of pedicled flaps or free flap reconstruction are a top concern that affect the patient’s quality of life. Submental flap reconstruction in tongue and floor of mouth cancer surgery is a reasonable choice because it is easy to perform, safe, and ensures both shape and function.