双游离皮瓣用于头颈外科复杂/复合缺损的重建。
Double free flaps for reconstruction of complex/composite defects in head and neck surgery.
作者信息
Mo Kevin W L, Vlantis Alexander, Wong Eddy W Y, Chiu T W
机构信息
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
Department of Otorhinolaryngology, Head and Neck Surgery, Prince of Wales Hospital, Shatin, Hong Kong.
出版信息
Hong Kong Med J. 2014 Aug;20(4):279-84. doi: 10.12809/hkmj134113. Epub 2014 Mar 28.
OBJECTIVE. To demonstrate the feasibility of double free flap surgery in head and neck reconstruction. DESIGN. Descriptive case series. SETTING. A university-affiliated hospital in Hong Kong. PATIENTS. Twelve patients with head and neck cancer (encountered over a 2.5-year period) who had reconstructive surgery with planned simultaneous double free flaps. RESULTS. The mean total operating time was 660 minutes and there were no flap failures. Postoperative stays ranged from 11 to 82 days; nine patients were discharged within 3 weeks and seven were able to maintain their weight with oral feeding. The survival rate up to 1 year was 64%. CONCLUSION. The use of double free flaps is an option worth considering for complex head and neck defects in carefully selected patients.
目的。证明双游离皮瓣手术在头颈部重建中的可行性。设计。描述性病例系列。地点。香港一家大学附属医院。患者。12名头颈部癌症患者（在2.5年期间遇到），接受了计划同时使用双游离皮瓣的重建手术。结果。平均总手术时间为660分钟，且无皮瓣坏死。术后住院时间为11至82天；9名患者在3周内出院，7名患者能够通过经口进食维持体重。1年生存率为64%。结论。对于精心挑选的患者，双游离皮瓣的使用是复杂头颈部缺损值得考虑的一种选择。
Zotero 插件