Journal of Oral Science Research ›› 2022, Vol. 38 ›› Issue (3): 226-229.DOI: 10.13701/j.cnki.kqyxyj.2022.03.006

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Retrospective Study of Vascular Stapler Used for Free Tissue Flap to Repair Tongue Defect

WANG Meiyue1, MI Hongyan1, LIU Mengzhe1,2, LIU Yiming1, SUN Jingjing1, LI Rui1*   

  1. 1. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China;
    2. Academy of Medical Sciences at Zhengzhou University, Zhengzhou 450000, China
  • Received:2021-09-02 Online:2022-03-28 Published:2022-03-25

Abstract: Objective: To retrospectively analyze the effect of vascular stapler in repairing tongue defects with free tissue flaps. Methods: Eighty-eight cases of free skin flap transplantation to repair tongue defect from January 2020 to December 2020 in the First Affiliated Hospital of Zhengzhou University were selected. The patient's clinical information, anastomosis, and skin flap transplantation complications were recorded. The Health Impact Scale (OHIP-14) was used to assess the oral health-related quality of life (OHRQOL) of patients 6 months after surgery. Results: In 88 cases, 51 cases (57.95%) were anastomosed with a stapler for the artery and vein of the skin valve, and 37 cases (42.05%) were anastomosed with a stapler only for the vein and 42.05% for the artery. The use of a stapler shortened the vascular anastomosis time. The survival rate of skin flap transplantation was 100%. The items with better recovery of OHIP-14 score were social disorder and disability, and the worse were physical pain and psychological discomfort. Conclusion: The use of vascular stapler for free tissue flaps to repair tongue defects is effective and can improve patients' OHRQOL.

Key words: tongue defect, stapler, free flap, oral health related quality of life