Schultz-Coulon H J
Klinik für Hals-Nasen-Ohrenkrankheiten, Kopf- und Halschirurgie, Lukaskrankenhaus GmbH, Städtische Kliniken Neuss.
HNO. 1991 Jun;39(6):203-7.
Either the musculocutaneous island flap (especially the pectoralis major flap) or the free jejunal transplant are used for large mucosal defects of the oro- and hypopharynx. As a jejunal transplant is more time consuming than the use of a musculocutaneous flap, its use must be justified. A review of the literature and our own experience show that the jejunal transplant should be preferred because (1) it is more versatile, (2) it can easily be handled, (3) it provides better functional results, (4) it avoids the functional and aesthetic morbidity of the donor site defect and (5) it has a lower complication rate than the pectoralis major flap.
肌皮岛状皮瓣（尤其是胸大肌皮瓣）或游离空肠移植均可用于口咽和下咽的大面积黏膜缺损。由于空肠移植比使用肌皮瓣耗时更长，因此必须说明其使用的合理性。文献回顾及我们自己的经验表明，应优先选择空肠移植，原因如下：（1）它用途更广；（2）易于操作；（3）能提供更好的功能效果；（4）可避免供区缺损带来的功能和美观问题；（5）其并发症发生率低于胸大肌皮瓣。
