股前外侧皮瓣联合咽瓣修复广泛软腭缺损
Combined use of anterolateral thigh flap and pharyngeal flap for reconstruction of extensive soft-palate defects.
作者信息
Miyamoto Shimpei, Sakuraba Minoru, Nagamatsu Shogo, Fujiki Masahide, Fukunaga Yutaka, Hayashi Ryuichi
机构信息
Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, Japan.
Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan.
出版信息
Microsurgery. 2016 May;36(4):291-6. doi: 10.1002/micr.22507. Epub 2015 Sep 30.
BACKGROUND
Functional reconstruction of extensive soft-palate defects is challenging for microsurgeons. The versatility of the combination of a free anterolateral thigh flap and a superiorly based pharyngeal flap for oncologic soft-palate reconstruction was investigated.
METHODS
The combination of flaps was used for immediate reconstruction after total or subtotal resection of the soft palate in five consecutive patients from 2006 to 2011.
RESULTS
All flaps survived completely. Palatal fistula and miniplate infection each developed in one patient but healed conservatively. Follow-up period ranged from 21 to 66 months. All patients tolerated a regular diet without significant aspiration or nasal regurgitation. Speech intelligibility was excellent in all patients, and none required a palatal prosthesis.
CONCLUSIONS
The combination of an anterolateral thigh flap and a superiorly based pharyngeal flap is a versatile option for reconstructing extensive soft-plate defects. This method is simple and achieves reproducible results with limited donor-site morbidity. © 2015 Wiley Periodicals, Inc. Microsurgery 36:291-296, 2016.
背景
对于显微外科医生而言，广泛软腭缺损的功能重建具有挑战性。本研究探讨了游离股前外侧皮瓣和咽上蒂瓣联合用于肿瘤性软腭重建的多功能性。
方法
2006年至2011年，连续5例患者在软腭全切或次全切术后立即采用联合皮瓣进行重建。
结果
所有皮瓣均完全存活。1例患者出现腭瘘和微型钢板感染，但经保守治疗后愈合。随访时间为21至66个月。所有患者均能耐受正常饮食，无明显误吸或鼻反流。所有患者的语音清晰度均良好，无一例需要腭托。
结论
股前外侧皮瓣和咽上蒂瓣联合是重建广泛软腭缺损的一种多功能选择。该方法简单，供区并发症有限，且效果可重复。©2015威利期刊公司。显微外科学36:291 - 296，2016年。
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