[我们使用股前外侧皮瓣重建头颈部肿瘤的经验]
[Our experience in the use of anterolateral thigh flap for reconstruction of the head and neck neoplasms].
作者信息
Pazdrowski Jakub, Synowiec Tomasz, Golusiński Paweł Jerzy, Pieńkowski Piotr, Łuczewski Łukasz, Chęciński Piotr, Golusiński Wojciech
机构信息
Oddział Chirurgii Głowy i Szyi i Onkologii Laryngologicznej, Wielkopolskie Centrum Onkologii im. Marii Skłodowskiej-Curie w Poznaniu.
出版信息
Otolaryngol Pol. 2012 Jan-Feb;66(1):51-5. doi: 10.1016/S0030-6657(12)70750-3.
INTRODUCTION
Free flaps with vascular anastomosis have been widely used in clinical practice for more than 30 years. They are standard in reconstructive surgery following extensive resections caused by neoplasms of the head and neck. The anterolateral thigh flap (ALT) constitutes very good reconstructive material due to the long vascular pedicle, the appropriate diameter of vessels, the large skin island plane, and thickness depending on requirements.
MATERIAL
The own material comprises 5 patients who have had extensive neoplastic infiltrations removed at different anatomic locations within the area of healthy tissue.
RESULTS
Reconstructions have been conducted using a microvascular thigh flap (ALT). All of the operated patients are under constant supervision. The observation period ranges from 2 to 3 months. No recurrence of the neoplastic process or graft rejection has been observed in any of the patients.
引言
带血管吻合的游离皮瓣在临床实践中已广泛应用30多年。它们是头颈部肿瘤广泛切除术后重建手术的标准方法。由于血管蒂长、血管直径合适、皮岛面积大且厚度可根据需要调整，股前外侧皮瓣（ALT）是非常好的重建材料。
材料
我们自己的材料包括5例患者，他们在健康组织区域内的不同解剖位置进行了广泛的肿瘤浸润切除。
结果
采用微血管大腿皮瓣（ALT）进行了重建。所有接受手术的患者都在持续监测中。观察期为2至3个月。所有患者均未观察到肿瘤复发或移植排斥反应。
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