Balakrishnan Chenicheri, Narasimhan Kailash, Gursel Tolga, Jackson Ollie, Schaffner Adam
Department of Plastic Surgery, Wayne State School of Medicine, Detroit, Michigan, USA.
Can J Plast Surg. 2008 Fall;16(3):178-80. doi: 10.1177/229255030801600305.
Orocutaneous fistulas are associated with considerable morbidity. Closures of these fistulas are a challenge to the reconstructing surgeon. The aim of treatment is to provide healthy tissue to repair both the oral and cutaneous defects. The use of an expanded pedicled deltopectoral flap for the closure of an orocutaneous fistula in a patient who has undergone bilateral neck dissection and radiation is reported.
口皮瘘与相当高的发病率相关。闭合这些瘘管对重建外科医生来说是一项挑战。治疗的目的是提供健康组织以修复口腔和皮肤缺损。本文报道了在一位接受双侧颈部清扫术和放疗的患者中使用带蒂胸大肌肌皮瓣扩张术闭合口皮瘘的情况。