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[应用锁骨上皮瓣修复头颈部缺损的临床经验]

[Clinical experience with the supraclavicular flap to reconstruct head and neck defects].

作者信息

Zhang Bin, Yan Dangui, Zhang Yabing, Zhang Xiwei, Wan Hanfeng

机构信息

Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100021, China; Email:

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jun;50(6):468-72.

Abstract

OBJECTIVE

To evaluate the efficacy of pedicled supraclavicular artery island flaps for head and neck reconstruction.

METHODS

Reconstructive surgeries for head and neck oncologic defects were performed with the pedicled supraclavicular artery island flaps in 10 patients from May 2013 to December 2014 and the cases were review. Among them, 6 were performed for hypopharyngeal cancer, 2 for oral tongue cancer, 1 for oral base cancer and 1 for cervical esophageal cancer. The size of the flaps was measured in (5-8) cm × (6-12) cm.

RESULTS

Seven flaps survived, one flap failured and two flaps had partial necrosis. Donor sites were closed primarily without morbidity.

CONCLUSION

The pedicled supraclavicular artery island flap is an easy harvesting and reliable for head and neck reconstruction, especially suitable for otolaryngo-head and neck surgeon and maxillofacial surgeon in the local hospital.

摘要

目的

评估带蒂锁骨上动脉岛状皮瓣用于头颈部重建的疗效。

方法

回顾性分析2013年5月至2014年12月期间采用带蒂锁骨上动脉岛状皮瓣对头颈部肿瘤缺损进行重建手术的10例患者的病例资料。其中下咽癌6例,舌癌2例,口底癌1例,颈段食管癌1例。皮瓣大小为(5 - 8)cm×(6 - 12)cm。

结果

7例皮瓣存活,1例皮瓣坏死,2例皮瓣部分坏死。供区一期缝合,无并发症。

结论

带蒂锁骨上动脉岛状皮瓣易于切取,对头颈部重建可靠,特别适合基层医院的耳鼻咽喉 - 头颈外科医生及口腔颌面外科医生。

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