Papadas Theodoros, Goumas Panagiotis, Alexopoulou Maria Miranda, Papakyriakos Ioannis, Papavasiliou Dimitrios, Antonopoulos Dimitrios
Department of Otorhinolaryngology, University Hospital of Patras, Greece.
Braz J Otorhinolaryngol. 2005 Jan-Feb;71(1):87-90. doi: 10.1016/s1808-8694(15)31290-8. Epub 2006 Jan 2.
We report a case of a seventy-five years old male patient with a squamous cell carcinoma (SCC) originated from the right external ear four years ago. He was undergone surgical removal of the lesion with a combination of modified neck dissection and reconstruction with the use of pectoralis major flap. Furthermore, he had radiotherapy with 6000 rads of the right temporal region. Two months ago the patient showed an extended recurrence concerning the temporal muscle and bone, the lithoid bone, the masseter and the pterygoid muscles, the right part of the mandible, the parotid gland with the facial nerve, and the superior bulb of the internal jugular vein. He had a surgical removal of the lesion in extended healthy margins and functional and esthetic reconstruction of the defect with a combination of metal fixed prosthesis of the condyle and the right mandible and the use of myocutaneous trapezius flap. This is a case report of the reconstruction options we have nowadays to provide quality of life in cancer patients.
我们报告一例75岁男性患者，四年前起源于右外耳道的鳞状细胞癌（SCC）。他接受了病变的手术切除，联合改良颈部清扫术，并使用胸大肌皮瓣进行重建。此外，他还接受了右颞区6000拉德的放射治疗。两个月前，患者出现颞肌和骨、岩骨、咬肌和翼状肌、下颌骨右侧、腮腺及面神经、颈内静脉上球部的广泛复发。他接受了病变的手术切除，切除范围为健康边缘，并使用髁突和右下颌骨的金属固定假体联合肌皮斜方肌皮瓣对缺损进行功能和美学重建。这是一篇关于我们目前为癌症患者提供生活质量的重建选择的病例报告。
