[胸锁乳突肌肌骨膜瓣修复颈段气管缺损]
[Reconstruction of the defect of cervical trachea with the sternocleidomastoid myoperiosteal flap].
作者信息
Zhang Jianxin, Zou Zhonglin, Song Jianjing, Wang Qiyou, Zhang Yu
机构信息
Department of Otorhinolaryngology-Head and Neck Surgery, Weihai Municipal Hospital, Weihai, 264200, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2007 Sep;21(18):837-8.
OBJECTIVE
To study application of sternocleidomastoid myoperiosteal flap to reconstruction of the defect of cervical trachea.
METHOD
Thirteen hospitalized patients with malignant neoplasm invading cervical trachea and primary tracheal carcinoma were analyzed retrospectively, the sternocleidomastoid myoperiosteal flap was applied to repair the defect of tracheal wall after resection of the neoplasm.
RESULT
Among 10 tracheotomy patients, 9 cases were decannulated from 1 month to 5 months. One case needs cannulation because of tracheal stenosis. Three patients with no tracheotomy had no dyspnea after operation.
CONCLUSION
The sternocleidomastoid myoperiosteal flap is an ideal transplant for cervical tracheal reconstruction.
目的
探讨胸锁乳突肌肌骨膜瓣在重建颈段气管缺损中的应用。
方法
回顾性分析13例因恶性肿瘤侵犯颈段气管及原发性气管癌住院患者，应用胸锁乳突肌肌骨膜瓣修复肿瘤切除后气管壁缺损。
结果
10例行气管切开患者中，9例于术后1个月至5个月拔管。1例因气管狭窄需长期带管。3例未行气管切开患者术后无呼吸困难。
结论
胸锁乳突肌肌骨膜瓣是重建颈段气管的理想移植材料。
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