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头颈部显微外科重建手术失败的经验教训:日本国立癌症中心医院和冈山大学医院

Lessons Learned from Unfavorable Microsurgical Head and Neck Reconstruction: Japan National Cancer Center Hospital and Okayama University Hospital.

作者信息

Kimata Yoshihiro, Matsumoto Hiroshi, Sugiyama Narusi, Onoda Satoshi, Sakuraba Minoru

机构信息

Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.

Department of Plastic and Reconstructive Surgery, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-cho, Kita-ku, Okayama City, Okayama 700-8558, Japan.

出版信息

Clin Plast Surg. 2016 Oct;43(4):729-37. doi: 10.1016/j.cps.2016.05.002. Epub 2016 Jul 21.

Abstract

The risk of surgical site infection (SSI) remains high after major reconstructive surgery of the head and neck. Clinical data regarding SSI in microsurgical tongue reconstruction are described at National Cancer Hospital in Japan, including discussions of unfavorable representative cases, the relationship between SSI and preoperative irradiation at Okayama University Hospital in Japan, and strategies for SSI control in head and neck reconstruction. Local complications are inevitable in patients undergoing reconstruction in the head and neck areas. The frequency of major complications can be decreased, and late postoperative complications can be prevented with the help of appropriate methods.

摘要

头颈部重大重建手术后手术部位感染(SSI)的风险仍然很高。日本国立癌症医院描述了显微外科舌重建中SSI的临床数据,包括对不良典型病例的讨论、日本冈山大学医院SSI与术前放疗的关系以及头颈部重建中SSI控制策略。头颈部重建患者不可避免会出现局部并发症。借助适当的方法可以降低主要并发症的发生率,并预防术后晚期并发症。

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