Talmi Y P, Gapany M, Hoffman H T
Dept. of Otolaryngology, Hasharon Hospital, Petah Tikvah.
Harefuah. 1992 Dec 1;123(11):448-53, 507.
Free-flap microvascular surgery of the head and neck is now an accepted reconstructive technique. Optimal reconstruction of both function and form are achieved in selected patients by this method. We describe our experience with free-flap reconstruction of head and neck defects in 13 patients. In 5 oncologic patients reconstruction was immediate, while in 8 other oncologic and trauma patients it was delayed. The free rectus abdominis myocutaneous flap was used most often. 3 flaps required revision, but only 1 failed.
头颈部游离皮瓣微血管手术现已成为一种公认的重建技术。通过这种方法,在选定的患者中可实现功能和形态的最佳重建。我们描述了我们对13例头颈部缺损游离皮瓣重建的经验。5例肿瘤患者为即刻重建,而另外8例肿瘤和创伤患者为延迟重建。最常使用的是游离腹直肌肌皮瓣。3个皮瓣需要修复,但只有1个失败。