Feng Guan-Ming, Cigna Emanuele, Lai Hsing-Kuang, Chen Hung-Chi, Gedebou Tewedoros M, Ozkan Omer, Chana Jagdeep
Departments of Plastic and Reconstructive Surgery, Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.
Scand J Plast Reconstr Surg Hand Surg. 2006;40(5):275-80. doi: 10.1080/02844310600759574.
The extended deltopectoral flap is still the best choice in selected cases. During the period 1987-2004, 34 patients required reconstruction of the head and neck using this flap. Twenty-nine had had one or more failed attempts at microsurgical reconstruction after excision of cancer. Five were treated primarily. The flap was divided at least three weeks after the primary operation. All 34 survived, and there were no donor site complications. Twenty-seven patients had an uncomplicated outcome, but the remaining seven required later closure or skin grafting, usually under local anaesthesia, for complications. The extended deltopectoral flap has been used successfully to provide stable coverage of defects in the head and neck and should remain in the armamentarium of reconstructive microsurgeons.
在特定病例中，延长的胸大肌三角肌皮瓣仍是最佳选择。在1987年至2004年期间，34例患者需要使用该皮瓣进行头颈部重建。其中29例在癌症切除后曾进行过一次或多次显微外科重建尝试但均失败。5例为初次治疗。皮瓣在初次手术后至少三周进行分割。所有34例患者均存活，且供区无并发症。27例患者预后良好，但其余7例患者因并发症需要后期缝合或植皮，通常在局部麻醉下进行。延长的胸大肌三角肌皮瓣已成功用于对头颈部缺损提供稳定的覆盖，应保留在重建显微外科医生的手术器械库中。
