Jinming Zhang, Xiaoxuan Chen, Jieren Peng, Shujuan Pan
Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital, Sun Yat-Sen University, 107 Yan-jiang Road W, Guangzhou, China.
Br J Plast Surg. 2005 Jul;58(5):608-13. doi: 10.1016/j.bjps.2005.02.003.
In the advanced stage of hypopharyngeal cancer, extensive resection may sometimes leave both the cervical soft tissue and pharyngoesophageal defects that must be reconstructed at the same time. In this study, a new reconstructive method using the rectus abdominis musculoperitoneal flap is described. Three patients underwent pharyngoesophageal reconstruction by this method. Complete survival of the flaps was seen in all patients, but one patient developed a fistula due to rapid local recurrence of the tumour. We believe that the rectus abdominis musculoperitoneal flap can be an alternative choice for reconstruction of pharyngoesophageal defect, especially when there is a large area of cervical soft tissue defect at the same time.
在下咽癌晚期，广泛切除有时会导致颈部软组织和咽食管缺损，必须同时进行重建。在本研究中，描述了一种使用腹直肌肌腹膜瓣的新重建方法。3例患者采用该方法进行咽食管重建。所有患者的皮瓣均完全存活，但1例患者因肿瘤局部快速复发而出现瘘管。我们认为，腹直肌肌腹膜瓣可作为咽食管缺损重建的一种替代选择，尤其是当同时存在大面积颈部软组织缺损时。
