Chang Yang-Ming, Deek Nidal Farhan Al, Wei Fu-Chan
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan.
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan.
Clin Plast Surg. 2016 Oct;43(4):747-52. doi: 10.1016/j.cps.2016.06.002. Epub 2016 Jul 26.
This article addresses trismus following head and neck cancer ablation and free flap reconstruction whether or not radiotherapy has been utilized. The focus is to achieve durable and favorable outcomes and avoid untoward results. To aid surgeons in fulfilling these goals, key factors, including adequate release surgery, optimal free flap selection and reconstruction, long-lasting results, and the untoward outcomes specific to trismus release and reconstruction surgery and how to avoid them have been investigated and discussed based on the authors' experience in this surgery.
本文探讨了头颈癌切除及游离皮瓣重建术后的牙关紧闭问题，无论是否进行了放射治疗。重点是实现持久且良好的效果，避免不良后果。为帮助外科医生实现这些目标，基于作者在该手术中的经验，对关键因素进行了研究和讨论，包括充分的松解手术、最佳游离皮瓣的选择与重建、长期效果，以及牙关紧闭松解和重建手术特有的不良后果及其避免方法。
