oncotomskСибирский онкологический журналSiberian journal of oncology1814-48612312-3168Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences10.21294/1814-4861-2016-15-2-56-62oncotomsk-334Research ArticleОПЫТ РАБОТЫ ОНКОЛОГИЧЕСКИХ УЧРЕЖДЕНИЙONCOLOGY PRACTICEПРИМЕНЕНИЕ ПОДПОДБОРОДОЧНОГО ЛОСКУТА В ЗАМЕЩЕНИИ ДЕФЕКТОВ У БОЛЬНЫХ СО ЗЛОКАЧЕСТВЕННЫМИ ОПУХОЛЯМИ СЛИЗИСТОЙ ОБОЛОЧКИ ПОЛОСТИ РТАAPPLICATION OF THE SUBMENTAL FLAP FOR REPAIR OF ORAL DEFECTS IN PATIENTS WITH ORAL CANCERСапринаО. А.SaprinaО. А.

кандидат медицинских наук, врач-онколог отделения опухолей головы и шеи, Российский онкологический научный центр им. Н.Н. Блохина (г. Москва, Российская Федерация). AuthorID: 555604.

PhD, Oncologist, Department of Tumors of Head and Neck, Russian Cancer Research Center memory of N.N. Blokhin (Moscow, Russia). AuthorID: 555604.

isabekian@mail.ruКропотовМ. А.KropotovМ. А.

доктор медицинских наук, заведующий отделением опухолей головы и шеи, Российский онкологический научный центр им. Н.Н. Блохина (г. Москва, Российская Федерация). AuthorID: 545180.

MD, DSc, Professor, Head of Department of Tumors of Head and Neck, Russian Cancer Research Center memory of N.N. Blokhin (Moscow, Russia). AuthorID: 545180.

drkropotov@mail.ruЛомаяМ. В.LomayaМ. V.

врач-онколог, ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (г. Москва, Российская Федерация). SPIN-код: 8213-1313.

Oncologist, First Moscow State Medical University memory of I.M. Sechenov (Moscow, Russia). SPIN-code: 8213-1313.

marine16-10@yandex.ruРоссийский онкологический научный центр им. Н.Н. Блохина,115448, г. Москва, Каширское шоссе, 24РоссияN.N. Blokhin Russian Research Cancer Center, 24, Kashirskoe shosse, 115448, Moscow, 24Russian FederationГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России, г. МоскваРоссияI.M. Sechenov First Moscow State Medical University, MoscowRussian Federation2016140720161525662Copyright © Саприна О.А., Кропотов М.А., Ломая М.В., 20162016Саприна О.А., Кропотов М.А., Ломая М.В.Saprina О.А., Kropotov М.А., Lomaya М.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.siboncoj.ru/jour/article/view/334

Для реконструкции дефектов у больных со злокачественными опухолями слизистой оболочки полости рта используются различные перемещенные и свободные лоскуты. В статье представлен анализ результатов лечения больных, которым выполнялась реконструкция с использованием перемещенного подподбородочного лоскута.

To reconstruct defects of the oral cavity in patients with oral cancer, various displaced and free flaps are used. The paper presents the treatment outcomes of patients who underwent reconstruction of oral defects using the submental flap.

рак слизистой оболочки полости ртахирургическое лечениереконструкция дефектовподподбородочный лоскутoral cancersurgical treatmentreconstruction of defectssubmental flapReferencesДавыдов М.И., Аксель Е.М. Статистика злокачественных новообразований России и стран СНГ в 2012 г. М., 2014. 203 с.Davydov M.I., Aksel’ E.M. Statistics of malignant tumors ff Russia and CIS in 2012. M., 2014. 203 p. [in Russian]Abouchadi A., Capon-Degardin N., Patenôtre P., Martinot-Duquennoy V., Pellerin P. The submental flap in facial reconstruction: advantages and limitations // J. Oral. Maxillofac. Surg. 2007. Vol. 65 (5). P. 863–869.Abouchadi A., Capon-Degardin N., Patenôtre P., Martinot-Duquennoy V., Pellerin P. The submental flap in facial reconstruction: advantages and limitations // J. Oral. Maxillofac. Surg. 2007. Vol. 65 (5). P. 863–869.Ayman A.A., Sakkary M.A., Khalil A.A., Rifaat M.A., Zayed S.B. The submental flap for oral cavity reconstruction: Extended indication and technical refinements // Head Neck Oncol. 2011. Vol. 3. P. 51. doi: 10.1186/1758-3284-3-51.Ayman A.A., Sakkary M.A., Khalil A.A., Rifaat M.A., Zayed S.B. The submental flap for oral cavity reconstruction: Extended indication and technical refinements // Head Neck Oncol. 2011. Vol. 3. P. 51. doi: 10.1186/1758-3284-3-51.Chen W.L., Li J.S., Yang Z.H., Huang Z.Q., Wang J.U., Zhang B. Two submental island flaps for reconstructing oral and maxillofacial defects following cancer ablation // J. Oral. Maxillofac. Surg. 2008. Vol. 66 (6). P. 1145–1156. doi: 10.1016/j.joms.2007.09.023.Chen W.L., Li J.S., Yang Z.H., Huang Z.Q., Wang J.U., Zhang B. Two submental island flaps for reconstructing oral and maxillofacial defects following cancer ablation // J. Oral. Maxillofac. Surg. 2008. Vol. 66 (6). P. 1145–1156. doi: 10.1016/j.joms.2007.09.023.Chow T.L., Chan T.T., Chow T.K., Fung S.C., Lam S.H. Reconstruction with submental flap for aggressive orofacial cancer // Plast. Reconstr. Surg. 2007. Vol. 120 (2). P. 431–436.Chow T.L., Chan T.T., Chow T.K., Fung S.C., Lam S.H. Reconstruction with submental flap for aggressive orofacial cancer // Plast. Reconstr. Surg. 2007. Vol. 120 (2). P. 431–436.Demir Z., Velidedeoğlu H., Celebioğlu S. Repair of pharyngocutaneous fistulas with the submental artery island flap // Plast. Reconstr. Surg. 2005. Vol. 115 (1). P. 38–44.Demir Z., Velidedeoğlu H., Celebioğlu S. Repair of pharyngocutaneous fistulas with the submental artery island flap // Plast. Reconstr. Surg. 2005. Vol. 115 (1). P. 38–44.Gender E.M. Reconstruction of the Head and Neck. New York: Thieme, 2012. P. 1–26.Gender E.M. Reconstruction of the Head and Neck. New York: Thieme, 2012. P. 1–26.Hilda E.S., Sasan K., Nancy L. Oral Cavity and Oropharynx Tumors // Radiol. Clin. N. Am. 2007. Vol. 45. P. 1–20.Hilda E.S., Sasan K., Nancy L. Oral Cavity and Oropharynx Tumors // Radiol. Clin. N. Am. 2007. Vol. 45. P. 1–20.Jemal A., Siegel R., Ward E., Murray T., Xu J., Smigal C., Thun M.J. Cancerstatistics, 2006 // CA Cancer J. Clin. 2006. Vol. 56 (2). P. 106–130.Jemal A., Siegel R., Ward E., Murray T., Xu J., Smigal C., Thun M.J. Cancerstatistics, 2006 // CA Cancer J. Clin. 2006. Vol. 56 (2). P. 106–130.Martin D., Pascal J.F., Baudet J., Mondie J.M., Farhat J.B., Athoum A., Le Gaillard P., Peri G. The submental island flap: a new donorsite. Anatomy and clinical applications as a free or pedicled flap // Plast. Reconstr. Surg. 1993. Vol. 92 (5). P. 867–873.Martin D., Pascal J.F., Baudet J., Mondie J.M., Farhat J.B., Athoum A., Le Gaillard P., Peri G. The submental island flap: a new donorsite. Anatomy and clinical applications as a free or pedicled flap // Plast. Reconstr. Surg. 1993. Vol. 92 (5). P. 867–873.Neligan P.C., Wei Fu-Chan. Microsurgical reconstruction of the head and neck, QMP. St.Louis, 2010. P. 591–613.Neligan P.C., Wei Fu-Chan. Microsurgical reconstruction of the head and neck, QMP. St.Louis, 2010. P. 591–613.Pappas-Politis E., Driscoll D.C., Pierpont Y.N., Albear P.R., Carter W.L., Gould L.J. Treatment of eccrine carcinoma of the chin via submental island flap // Eplasty. 2010. Vol. 10. e. 27.Pappas-Politis E., Driscoll D.C., Pierpont Y.N., Albear P.R., Carter W.L., Gould L.J. Treatment of eccrine carcinoma of the chin via submental island flap // Eplasty. 2010. Vol. 10. e. 27.Pistre V., Pelissier P., Martin D., Lim A., Baudet J. Ten years of experience with the submental flap // Plast. Reconstr. Surg. 2001. Vol. 108 (6). P. 1576–1581.Pistre V., Pelissier P., Martin D., Lim A., Baudet J. Ten years of experience with the submental flap // Plast. Reconstr. Surg. 2001. Vol. 108 (6). P. 1576–1581.Safdar J., Liu F.Y., Moosa Y., Xu Z.F., Li Z.N., Sun C.F. Submental versus platysma flap for the reconstruction of complex facial defects following resection of head and neck tumors // Pak. J. Med. Sci. 2014. Vol. 30 (4). P. 739–744.Safdar J., Liu F.Y., Moosa Y., Xu Z.F., Li Z.N., Sun C.F. Submental versus platysma flap for the reconstruction of complex facial defects following resection of head and neck tumors // Pak. J. Med. Sci. 2014. Vol. 30 (4). P. 739–744.Shah J. Head and Neck. Surgery and oncology. Edinburg: Mosby, 2003. P. 173–235; 589–633.Shah J. Head and Neck. Surgery and oncology. Edinburg: Mosby, 2003. P. 173–235; 589–633.Taghinia A.H., Movassaghi K.D., Wang A.X., Pribaz J.J. Reconstruction of the Upper Aerodigestive Tract with the Submental Artery Flap // Plast. Reconstr. Surg. 2009. Vol. 123 (2). P. 562–570. doi: 10.1097/PRS.0b013e3181977fe4.Taghinia A.H., Movassaghi K.D., Wang A.X., Pribaz J.J. Reconstruction of the Upper Aerodigestive Tract with the Submental Artery Flap // Plast. Reconstr. Surg. 2009. Vol. 123 (2). P. 562–570. doi: 10.1097/PRS.0b013e3181977fe4.Tassinari J., Orlandino G., Fabrizio T., Calabrese L. Submental flap in facial reconstructive surgery: Long-term casuistry revision // Plast. Reconstr. Surg. 2010. Vol. 126 (3). P. 139e–140e. doi: 10.1097/PRS.0b013e3181e3b570.Tassinari J., Orlandino G., Fabrizio T., Calabrese L. Submental flap in facial reconstructive surgery: Long-term casuistry revision // Plast. Reconstr. Surg. 2010. Vol. 126 (3). P. 139e–140e. doi: 10.1097/PRS.0b013e3181e3b570.You Y.H., Chen W.L., Wang Y.P., Liang J. The feasibility of facialsubmental artery island myocutaneous flaps for reconstructing defects of the oral floor following cancer ablation // Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2010. Vol. 109 (6). e. 12–16. doi: 10.1016/j.tripleo.2010.02.004.You Y.H., Chen W.L., Wang Y.P., Liang J. The feasibility of facialsubmental artery island myocutaneous flaps for reconstructing defects of the oral floor following cancer ablation // Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2010. Vol. 109 (6). e. 12–16. doi: 10.1016/j.tripleo.2010.02.004.Zhang B., Wang J.G., Chen W.L., Yang Z.H., Huang Z.Q. Reverse facial-submental artery island flap for reconstruction of oropharyngeal defects following middle and advanced-stage carcinoma ablation // Br. J. Oral Maxillofac. Surg. 2011. Vol. 49 (3). P. 194–197. doi: 10.1016/j.bjoms.2010.04.009.Zhang B., Wang J.G., Chen W.L., Yang Z.H., Huang Z.Q. Reverse facial-submental artery island flap for reconstruction of oropharyngeal defects following middle and advanced-stage carcinoma ablation // Br. J. Oral Maxillofac. Surg. 2011. Vol. 49 (3). P. 194–197. doi: 10.1016/j.bjoms.2010.04.009.

The authors declare that there are no conflicts of interest present.