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[应用颈阔肌带蒂皮瓣治疗下咽狭窄]

[The treatment for hypopharynx stenosis using platysma pedicle flap].

作者信息

Ruan Yanyan, Chen Wenxian, Cui Pengcheng, Gao Pengfei

机构信息

Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2006 Aug;20(15):694-5.

Abstract

OBJECTIVE

To evaluate the possibility and reliability of platysma pedicle flap transfer in the correction of hypopharynx stenosis,and delineate the operation skills and clinical results.

METHOD

Ten patients with hypopharynx stenosis underwent hypopharynx reconstruction using platysma pedicle flap.

RESULT

Nine of these patients had been decannulated successfully with good airway patency, good pronunciation and a good swallow.

CONCLUSION

Platysma pedicle flap transfer was a single stage reconstruction, relatively simple procedure and less complication that can restore an adequate airway and a good swallow. The results indicate that the platysma pedicle flap is an ideal transplant for hypopharynx reconstruction. This method is simple, safe and reliable.

摘要

目的

评估颈阔肌蒂皮瓣转移修复下咽狭窄的可行性和可靠性,并阐述手术技巧及临床效果。

方法

10例下咽狭窄患者采用颈阔肌蒂皮瓣进行下咽重建。

结果

其中9例患者成功拔管,气道通畅良好,发音及吞咽功能良好。

结论

颈阔肌蒂皮瓣转移是一种一期重建手术,操作相对简单,并发症较少,能够恢复足够的气道及良好的吞咽功能。结果表明颈阔肌蒂皮瓣是下咽重建的理想移植材料。该方法简单、安全、可靠。

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