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图 2 左颈Ⅰ区肿大淋巴结与皮肤黏连成板状(▲)以及Ⅲ区肿大淋巴结(↑)
Figure 2. Left Ⅰ area enlarged lymph nodes invading skin (▲) and left Ⅲ area enlarged lymph nodes (↑)
图 3 术前MRI显示左颈Ⅰ区肿大淋巴结与皮肤关系紧密(▲)，舌体及口腔巨大占位(→)，左颈内静脉疑受肿瘤侵犯(↑)
Figure 3. Preoperative magnetic resonance imaging (MRI). Left Ⅰ area enlarged lymph nodes invading the skin (▲); the tongue tumor (→); left internal jugular vein by suspicious tumor invasion (↑)
图 5 肿瘤切除后的巨大缺损(▲)，及分离后的两个皮瓣(↑)及组织瓣(→)
Figure 5. Large defect after tumor resection (▲); and two skin flaps (↑) and the tissue flap (→)
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[1] 韩其滨, 张文峰.203例舌癌患者复发相关因素分析[J].口腔医学研究, 2005, 21(3):321-323. http://d.wanfangdata.com.cn/Periodical/kqyxzh200503033Han QB, Zhang WF. The analysis of 203 tongue cancer patients on recurrence factors[J]. J Oral Sci Res, 2005, 21(3):321-323. http://d.wanfangdata.com.cn/Periodical/kqyxzh200503033 [2] Gourin CG, Johnson JT. Surgical treatment of squamous cell carcinoma of the base tongue[J]. Head & Neck, 2001, 23(8):653-660. http://www.ncbi.nlm.nih.gov/pubmed/11443748 [3] 毛驰, 俞光岩, 彭歆, 等.头颈部组织缺损显微外科重建的临床效果[J].中华显微外科杂志, 2007, 30 (3):176-178. http://d.wanfangdata.com.cn/Periodical/zhxwwk200703005Mao C, Yu GY, Peng X, et al. Clinical effect of head and neck reconstruction using microsurgical free flap transfer techniques[J]. Chin J Microsurg, 2007, 30(3):176-178. http://d.wanfangdata.com.cn/Periodical/zhxwwk200703005 [4] Yazar S, Wei FC, Chen HC, et al. Selection of recipient vessels in double free-flap reconstruction of composite head and neck defects[J]. Keisei Geka, 2005, 115(6):1553-1561. http://www.ncbi.nlm.nih.gov/pubmed/15861058 [5] Wei WL, Zhu MG. Reconstruction of wide-apart double defect using a branch-based chimeric anterolateral thigh flap[J]. Plast Reconstr Surg Glob Open, 2014, 2(1):e96-e96. doi: 10.1097/GOX.0000000000000014 -
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