Herberhold S, Bootz F
Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde/Chirurgie, Universitätsklinikum Bonn.
HNO. 2013 Jul;61(7):580-3. doi: 10.1007/s00106-013-2703-6.
Oropharyngeal cancer surgery often does not allow primary wound closure; furthermore, surgery of tumors in the base of the tongue, the soft palate and the lateral pharyngeal wall often lead to swallowing disorders and nasal twang which severely impair quality of life. Secondary scarring may also result in fixation of the tongue or stenosis of the pharynx. Therefor reconstructive techniques with free or pedicled flaps are essential to reduce functional impairment. In addition, after trauma or due to malformations, reconstructive surgery using flap techniques is sometimes indicated.
口咽癌手术通常无法实现一期伤口闭合;此外,舌根部、软腭和咽侧壁肿瘤的手术常常会导致吞咽障碍和鼻音,严重影响生活质量。继发性瘢痕形成还可能导致舌部固定或咽部狭窄。因此,采用游离或带蒂皮瓣的重建技术对于减少功能损害至关重要。此外,在创伤后或由于畸形,有时需要采用皮瓣技术进行重建手术。