Roman L D, Karpenko A V, Chumanikhina N S, Sibgatullin R R, Dzsalilov D N
Vopr Onkol. 2010;56(6):708-11.
Oncological Dispensary of Leningrad Region, St.Petersburg Our paper deals with evaluation of the results of using distal pectoralis major myocutaneous flap (38) in 37 patients; bilateral dissection of tissue--1. Plastic reconstruction of surgical effects of the oral cavity and pharynx was performed in 27 (skin cancer--8, parotid salivary gland tumor--1). Flap was used to both shield the parotid artery and prevent erosive bleeding following radical cervical dissection, urgent plastic surgery--30, postponed--8. Complication, chiefly slight was reported in 60.5% and treated conservatively. Total necrosis was identified in 2 (5.3%), partial--4 (10.8%), salivary fistula--10 out of 27 reconstructions of the upper intestinal tract (18.4%), cervical suture failure--7 (18.4%), flap avulsion from wound edges--6 (15.8%), wound edge avulsion--2 (5.3%). Nasogastric probe for feeding was used for approx. 23.7 days. Feeding per os after the first operation was restored in 23 (85.2%). Repeat reconstruction using pectoralis major myocutaneous flap has proved effective in patients with surgical effects of head and neck.
圣彼得堡列宁格勒地区肿瘤诊疗所 我们的论文探讨了37例患者使用胸大肌远侧肌皮瓣（38）的结果评估；双侧组织解剖——1例。对27例患者进行了口腔和咽部手术效果的整形重建（皮肤癌——8例，腮腺唾液腺肿瘤——1例）。该皮瓣用于保护腮腺动脉并防止根治性颈清扫术后的侵蚀性出血，急诊整形手术——30例，延期手术——8例。60.5%的患者出现并发症，主要为轻度，采用保守治疗。2例（5.3%）出现完全坏死，4例（10.8%）部分坏死，27例上消化道重建中有10例（18.4%）出现唾液瘘，7例（18.4%）出现颈部缝线裂开，6例（15.8%）皮瓣从伤口边缘撕脱，2例（5.3%）伤口边缘撕脱。鼻胃管喂养约23.7天。23例（85.2%）患者首次手术后恢复经口进食。对头颈部手术效果的患者再次使用胸大肌肌皮瓣重建已证明有效。
