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头颈部重建。

Head and neck reconstruction.

作者信息

Yadav Prabha

机构信息

Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.

出版信息

Indian J Plast Surg. 2013 May;46(2):275-82. doi: 10.4103/0970-0358.118604.

DOI:10.4103/0970-0358.118604
PMID:24501464
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3901909/
Abstract

Whatever is excisable, is reconstructable! "You excise, we will reconstruct" are the confident words of reconstructive surgeons today. Reconstruction with multiple flaps has become routine. Radial artery (FRAF), Antero lateral thigh (ALT) and Fibula osteo cutaneous flap (FFOCF) are three most popular free flaps which can reconstruct any defect with excellent asthetics and performance. Radial Artery provides thin, pliable innervated skin; ALT large amount of skin & bulk; and FFOCF strong 22 to 25 centimetres of bone and reliable skin paddle. Free flap survival has gone to 98% in most of the renouned institutes and is an established escalator in management of defects.

摘要

任何可切除的部位，都可重建！“你负责切除，我们负责重建”，这是当今重建外科医生充满自信的话语。多皮瓣重建已成为常规操作。桡动脉游离皮瓣（FRAF）、股前外侧皮瓣（ALT）和腓骨骨皮瓣（FFOCF）是三种最常用的游离皮瓣，它们能够以出色的美观效果和功能重建任何缺损。桡动脉游离皮瓣可提供薄而柔韧且带有神经支配的皮肤；股前外侧皮瓣可提供大量皮肤和组织量；腓骨骨皮瓣则有22至25厘米长的坚固骨骼及可靠的皮瓣。在大多数知名机构中，游离皮瓣的存活率已达到98%，并且在缺损处理中已成为一种成熟的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/8fadb11bd480/IJPS-46-275-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/5a955e64577c/IJPS-46-275-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/d0a06a165a7a/IJPS-46-275-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/79105a81233e/IJPS-46-275-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/ee9f49cb223b/IJPS-46-275-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/1b2dccac6df7/IJPS-46-275-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/8fadb11bd480/IJPS-46-275-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/5a955e64577c/IJPS-46-275-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/d0a06a165a7a/IJPS-46-275-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/79105a81233e/IJPS-46-275-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/ee9f49cb223b/IJPS-46-275-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/1b2dccac6df7/IJPS-46-275-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d2e/3901909/8fadb11bd480/IJPS-46-275-g008.jpg

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本文引用的文献

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Plast Reconstr Surg. 2012 Aug;130(2):419-422. doi: 10.1097/PRS.0b013e3182589ec6.
2
A 15-year review of midface reconstruction after total and subtotal maxillectomy: part II. Technical modifications to maximize aesthetic and functional outcomes.全上颌骨切除术和次全上颌骨切除术后面中部重建的 15 年回顾：第二部分。为实现最佳美学和功能效果的技术改进。
Plast Reconstr Surg. 2012 Jan;129(1):139-147. doi: 10.1097/PRS.0b013e318221dc60.
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A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes.
全上颌骨切除术和次全上颌骨切除术后面中部重建的 15 年回顾：第一部分。算法和结果。
Plast Reconstr Surg. 2012 Jan;129(1):124-136. doi: 10.1097/PRS.0b013e318221dca4.
4
Transoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function.经口机器人手术治疗口咽癌及其对患者报告的生活质量和功能的影响。
Head Neck. 2012 Feb;34(2):146-54. doi: 10.1002/hed.21688. Epub 2011 Apr 5.
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Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: a functional assessment of radial forearm versus anterolateral thigh flap.半侧舌切除术后微血管游离组织移植重建舌部：桡侧前臂皮瓣与股前外侧皮瓣的功能评估
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Lateral oromandibular defect: when is it appropriate to use a bridging reconstruction plate combined with a soft tissue revascularized flap?外侧口腔下颌骨缺损：何时适合使用桥接重建钢板联合带血管蒂软组织瓣？
Head Neck. 2008 Jun;30(6):709-17. doi: 10.1002/hed.20776.
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Fasciocutaneous free flaps in pharyngolaryngo-oesophageal reconstruction: a critical review of the literature.用于咽喉食管重建的筋膜皮瓣游离皮瓣：文献综述
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