Long-term tongue ulcers or tongue cancer

The 21-year-old man was unfortunately diagnosed as suffering from tongue cancer just after graduating from university. He needed to remove the tongue. But she was also lucky. In the newly established Department of Oral and Maxillofacial Surgery at the Second Affiliated Hospital of Dalian Medical University, Prof. Zhang Fuzhen successfully implemented an enlarged tongue malignant tumor resection, an ipsilateral upper humerus lymphadenectomy, and a left forearm. Free skin flap graft repair and skin grafting of the left upper limb were performed to reconstruct and repair the tongue at the same time when the tongue malignant tumor and suspicious cancerous lesion were completely resected.

On July 18, 2013, the reporter met Yan in the oral and maxillofacial surgical ward of the Second Hospital of the Da Yi Yi. "I'll be discharged from the hospital tomorrow. I'm very glad." While she was eating fruit, she told reporters that she wanted to continue Complete the dream of a kindergarten teacher. Although half of the tongue has been cut off due to tongue cancer, after being repaired, it is very easy to eat and the pronunciation is very clear. It is difficult to connect with the removal of the tongue. So young to suffer from tongue cancer, tongue cancer how to prevent it? This reporter interviewed Professor Zhang Fuzhen, an expert in the treatment and functional repair of oral and maxillofacial tumors. Professor Zhang Fuzhen, who loves to find long-term white wine for tongue cancer, said that in recent years, the incidence of oral cancer has tended to be younger, younger patients under the age of 30 are increasing, and the proportion of female patients has increased. Oral cancer in the broad sense refers to malignant tumors that occur in the oral cavity, including the tongue, gums, cheeks, floor of the mouth, and lips. Tongue cancer is the most common and highly malignant tumor, with the lingual margin as the predilection site. Often manifested as: surface ulceration of the tongue, granular or cauliflower, may be associated with unexplained pain or numbness; or oral or incomprehensible white or red patches and infiltrative lump, if the above performance for more than two weeks If it does not heal, it is highly suspected that tongue cancer is possible.

The causes of oral cancer are many, and it is well known that leukoplakia, lichen planus, and other malignancies, long-term local stimuli, such as the presence of sharp cusps, residual roots, residual crowns, gums, and bad prostheses in the oral cavity are also causes. The cause of oral cancer. "Large consumption of liquor for a long period of time has caused the oral mucosa to be burned for a long time and the tissue has been repaired repeatedly. This has greatly increased the possibility of malignant cells." In addition, "the incidence of oral cancer causing oral cancer has increased rapidly in recent years." When talking about the risk factors of oral cancer, Professor Zhang Fuzhen told reporters. "Maniary and maxillofacial reconstructive reconstructive surgery" is a comprehensive treatment for complete radical resection of malignant tumors. The preferred treatment is surgery. Considering the time spent in bean curd, Professor Zhang Fujun believed that surgery should ensure the cure of the tumor, but also not destroy the patient's facial features and preserve the function of the tongue. After repeated discussions, the decision was made to excise the lingual resection and neck lymph node dissection. At the same time, the left forearm skin and its blood supply vessels of the iliac crest were taken as free flaps and the tongue reconstruction was performed. Because of the guarantee of reconstructive surgery, malignant tumor resection can completely remove the tumor.

Prof. Zhang Fuzhen told reporters that the key to the success of tongue reconstruction in this operation is whether the transplanted flap can establish a good blood supply with the original supply blood vessels to ensure the survival of the tissue flap. Free flap grafting is an extremely delicate and complex microsurgery that needs to be performed under a surgical microscope. 16 to 20 needles are to be sutured to vessels with a diameter of less than 2 mm! With years of experience in free flap surgery, Professor Zhang experienced more than six hours and the operation was successfully completed and successful. The No. 2 Oral and Maxillofacial Surgery Department of DaYi currently requires no outside experts to be able to successfully complete oral cancer radical surgery and free tissue flap graft repair. Its technology has reached the advanced medical level at home and abroad. Changing the way tongue cancer can be controlled.

The tongue is rich in lymphatic channels and blood circulation, and the mechanical movement of the tongue is frequent, making tongue cancer prone to early lymph node metastasis. This greatly affects the patient's survival time and prognosis. Therefore, early detection, early diagnosis and early treatment of tongue cancer are of great significance in improving the quality of life of patients.

Professor Zhang Fuzhen told reporters that the prevention of tongue cancer is mainly to reduce external stimuli and actively treat precancerous lesions. In weekdays, spicy and other spicy foods should be eaten to reduce the irritation of the oral mucosa; the frequency of smoking and alcohol consumption should be minimized; early cusp, residual crown, residual roots, osteophytes and bad restorations in the oral cavity should be treated as early as possible. To the oral outpatient treatment; If the oral mucosa has long-term pain, ulcer prolonged healing and tongue movement disorders and other symptoms, should seek medical attention. In addition, maintaining a calm state of mind is of positive significance in preventing the occurrence of malignant tumors.