Marin Vincent P, Yu Peirong, Weber Randal S
Department of Plastic Surgery, Unit 443, FC8.2000, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030.
Head Neck. 2006 Sep;28(9):856-60. doi: 10.1002/hed.20442.
Isolated defects in the cervical esophagus in patients who have not undergone total laryngectomy are uncommon. We report 2 cases of rare esophageal tumors requiring reconstruction of the cervical esophagus after tumor resection.
The patients were a 51-year-old woman with an esophageal granular cell tumor and a 54-year-old woman with an esophageal schwannoma. Both defects were reconstructed with a radial forearm flap. A small subclinical leak developed in 1 patient and healed spontaneously within 2 weeks. At 1 year and 2 years of follow-up, both patients were consuming a normal diet and had normal voices.
A thin and well-vascularized flap such as the radial forearm flap is essential for reconstructing an isolated cervical esophageal defect so as to maximize functional outcome.
未接受全喉切除术的患者出现孤立性颈段食管缺损并不常见。我们报告2例罕见的食管肿瘤，在肿瘤切除后需要重建颈段食管。
患者为1例51岁患有食管颗粒细胞瘤的女性和1例54岁患有食管神经鞘瘤的女性。两个缺损均采用桡侧前臂皮瓣进行重建。1例患者出现小的亚临床漏，在2周内自行愈合。在随访1年和2年时，两名患者均能正常饮食且声音正常。
像桡侧前臂皮瓣这样薄且血运良好的皮瓣对于重建孤立的颈段食管缺损至关重要，以便最大限度地提高功能结局。
