Panje W R, Pitcock J K, Vargish T
Department of Otolaryngology-Head and Neck Surgery, University of Chicago Medical Center, IL 60637.
Otolaryngol Head Neck Surg. 1989 Jun;100(6):588-93. doi: 10.1177/019459988910000612.
Complicated wounds of the head and neck involve a severe deficiency of tissue in a contaminated or irradiated area that is predisposed to infection and necrosis. Reconstruction of these wound areas frequently requires multiple operations and prolonged hospitalization. We have successfully reconstructed complicated head and neck wounds in thirteen patients by means of a single-stage microvascular tissue transfer of the greater omentum with or without an attached segment of the stomach wall. There were 11 complete successes, two partial failures, and no complete failures. We describe four cases to illustrate the basic fundamentals of this reconstructive technique.
头颈部复杂伤口涉及受污染或受辐射区域的严重组织缺损，该区域易发生感染和坏死。这些伤口区域的重建通常需要多次手术和长时间住院。我们通过大网膜带或不带附着胃壁段的单阶段微血管组织转移，成功地为13例患者重建了头颈部复杂伤口。有11例完全成功，2例部分失败，无完全失败病例。我们描述4例病例以说明这种重建技术的基本原理。
