Cheng Olivia T, Tamaki Akina, Rezaee Rod P, Zender Chad A
Ear, Nose, and Throat Institute, Case Western Reserve University, University Hospitals Case Medical Center, Cleveland, Ohio.
Head Neck. 2016 Nov;38(11):E2512-E2514. doi: 10.1002/hed.24530. Epub 2016 Jul 4.
Prefabricated composite free flaps have been described as a technique for reconstruction of laryngotracheal defects.
We present a 74-year-old woman with recurrent papillary thyroid carcinoma (PTC) who was initially treated with thyroidectomy, tracheal resection, and subsequent vocal cord medialization. The patient's recurrent disease was treated with partial laryngectomy and reconstruction using a prefabricated composite free flap. A 2-stage procedure was performed using conchal cartilage to create a prefabricated radial forearm free flap.
The patient's airway was successfully reconstructed with preservation of speech and swallow function.
This case provides further evidence supporting the use of prefabricated free flaps in airway reconstruction and the ability to obtain successful outcomes in a patient with multiple prior surgeries in the operative field and requiring adjuvant external beam radiation therapy. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2512-E2514, 2016.
预制复合游离皮瓣已被描述为一种用于喉气管缺损重建的技术。
我们报告一名74岁复发性乳头状甲状腺癌（PTC）女性患者，其最初接受了甲状腺切除术、气管切除术及随后的声带内移术。患者的复发性疾病采用部分喉切除术并使用预制复合游离皮瓣进行重建。采用耳甲软骨进行两阶段手术以构建预制桡侧前臂游离皮瓣。
患者气道成功重建，言语和吞咽功能得以保留。
该病例提供了进一步的证据，支持在气道重建中使用预制游离皮瓣，以及在手术区域有多次既往手术史且需要辅助外照射放疗的患者中获得成功结果的能力。©2016威利期刊公司。《头颈》38：E2512 - E2514，2016年。
