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颏下皮瓣修复下咽癌切除术后近全周性缺损且未保留喉功能的治疗效果

[Therapeutic effect of submental flap in repairing of approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved].

作者信息

Ye Fei, Fu MinYi, Chen Guoping, Xu Jianhui, Kang Hongjian

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Apr;29(7):600-2.

Abstract

OBJECTIVE

To study the effectiveness of repairing nearly circumferential defect with the submental flaps after resection of laryngeal function unpreserved hypopharyngeal cancer.

METHOD

All the cases were treated with the submental flaps after resection of hypopharyngeal cancer with laryngeal function unpreserved.

RESULT

All 13 flaps were alive. Hypopharyngeal fistula occurred in 2 cases. All patients had normal swallowing function. The patients were followed up 6-42 months. Of 13 cases,3 had recurrence at neck Lymph node, but no local hypopharyngeal recurrence was found. Seven cases were followed up more than 3 years, and only 3 of them survived.

CONCLUSION

Submental flap is an ideal tissue flap submental flap in repairing of approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved for the repairment of after approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved, For it is close to the defect region, safe, easy-to-obtain and easy-to-survive.

摘要

目的

探讨保留喉功能下咽癌切除术后采用颏下皮瓣修复近全周性缺损的有效性。

方法

所有病例均为保留喉功能下咽癌切除术后采用颏下皮瓣修复。

结果

13块皮瓣全部成活。2例发生下咽瘘。所有患者吞咽功能正常。随访6~42个月。13例中3例颈部淋巴结复发,但未发现下咽局部复发。7例随访超过3年,仅3例存活。

结论

颏下皮瓣是保留喉功能下咽癌切除术后修复近全周性缺损的理想组织瓣,因其距离缺损区近、安全、易获取、易成活。

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