游离胫后皮瓣重建术治疗下咽鳞状细胞癌
Free posterior tibial flap reconstruction for hypopharyngeal squamous cell carcinoma.
作者信息
Chen Fei, Liu Jun, Wang Lihong, Lv Dan, Zhu Yuanzhi, Wu Qi, Li Guojun, Zheng Hongliang, Tao Xiaofeng
机构信息
Department of Head and Neck Surgery, the University of Texas, MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA.
出版信息
World J Surg Oncol. 2014 May 24;12:163. doi: 10.1186/1477-7819-12-163.
OBJECTIVES
The aim of this article was to determine outcomes in patients with squamous cell carcinoma of the hypopharynx (SCCHP) in whom the free posterior tibial flap was used for primary reconstruction of hypopharynx defects after cancer resection.
SUBJECTS AND METHODS
Between August 2009 and February 2012, 10 patients with SCCHP underwent posterior tibial flap reconstruction for hypopharynx defects. The corresponding clinical data were retrospectively collected and analyzed.
RESULTS
Despite the multistep and time-consuming procedure, the posterior tibial flap survival rate was 100%. Operation-induced complications did not occur in four patients. Six patients developed postoperative hypoproteinemia, four patients developed postoperative pulmonary infections, and four patients developed pharyngeal fistula. The pharyngeal and laryngeal functions of all patients were preserved.
CONCLUSION
Our experience demonstrates that the posterior tibial flap is a safe and reliable choice for the reconstruction of hypopharynx defects.
目的
本文旨在确定下咽鳞状细胞癌（SCCHP）患者在癌症切除后使用游离胫后皮瓣进行下咽缺损一期重建的治疗效果。
对象与方法
2009年8月至2012年2月期间，10例下咽鳞状细胞癌患者接受了胫后皮瓣重建下咽缺损手术。回顾性收集并分析了相应的临床资料。
结果
尽管手术步骤多且耗时，但胫后皮瓣存活率为100%。4例患者未发生手术相关并发症。6例患者术后出现低蛋白血症，4例患者术后发生肺部感染，4例患者发生咽瘘。所有患者的咽喉功能均得以保留。
结论
我们的经验表明，胫后皮瓣是重建下咽缺损的一种安全可靠的选择。
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