用于全舌切除和次全舌切除重建的股前外侧折叠皮瓣。
The anterolateral thigh fold-over flap for total and subtotal glossectomy reconstruction.
作者信息
Paydarfar Joseph A, Freed Gary L, Gosselin Benoit J
机构信息
Division of Otolaryngology-Head & Neck Surgery, Department of Surgery, Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
Division of Plastic Surgery, Department of Surgery, Geisel School of Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
出版信息
Microsurgery. 2016 May;36(4):297-302. doi: 10.1002/micr.30033. Epub 2016 Feb 16.
BACKGROUND
We present a fold-over technique for total and subtotal glossectomy reconstruction utilizing the ALT flap with the goal of increasing soft tissue bulk.
METHODS
Retrospective review of total and subtotal glossectomy patients undergoing ALT fold-over flap reconstruction from January 2007 to December 2012.
RESULTS
Eight patients fit inclusion criteria. Average length of follow-up was 35 months. There were no flap failures. At last follow-up, no patients were tracheostomy dependent. Six out of 8 patients (75%) did not require a g-tube and were able to maintain their weight. Speech intelligibility was good in 6/8 patients (75%).
CONCLUSIONS
The ALT fold-over flap technique provides sufficient bulk to allow decannulation and airway protection as well as PO intake in most patients. Given the minimal donor site morbidity, it is our technique of choice for total and subtotal glossectomy defects. © 2016 Wiley Periodicals, Inc. Microsurgery 36:297-302, 2016.
背景
我们提出一种利用股前外侧皮瓣（ALT瓣）进行全舌切除术和次全舌切除术重建的折叠技术，目的是增加软组织量。
方法
回顾性分析2007年1月至2012年12月期间接受ALT瓣折叠皮瓣重建的全舌切除术和次全舌切除术患者。
结果
8例患者符合纳入标准。平均随访时间为35个月。未出现皮瓣坏死。在最后一次随访时，没有患者依赖气管造口术。8例患者中有6例（75%）不需要胃造瘘管，且能够维持体重。8例患者中有6例（75%）言语清晰度良好。
结论
ALT瓣折叠皮瓣技术可提供足够的组织量，使大多数患者能够拔管、保护气道并经口进食。鉴于供区并发症极少，它是我们用于全舌切除术和次全舌切除术缺损修复的首选技术。©2016威利期刊公司。显微外科学36:297 - 302，2016年。
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