Cummings C W, Eisele D W, Coltrera M D
Department of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle.
Arch Otolaryngol Head Neck Surg. 1989 Oct;115(10):1181-5. doi: 10.1001/archotol.1989.01860340035012.
Resurfacing of the floor of the mouth and buccal region of the oral cavity and the tonsillar region of the oropharynx may be accomplished with many variations of regional and distant vascularized flaps. Our experiences in the use of 14 lower trapezius myocutaneous island flaps are described with respect to the unique application and suitability of this flap to resurface defects in these areas, as well as the contraindications, both relative and absolute, to the use of this particular method of resurfacing. In addition, the intraoperative technique and attendant problems, as well as postoperative complications, are presented. The overall advantages and disadvantages of this flap as compared with the more traditional pectoralis myocutaneous flap are outlined. It is our belief that because of the distinct qualities of this flap, including extended scope and flap thinness, this method of reconstruction merits consideration in the preoperative planning process.
口腔口底、颊部以及口咽扁桃体区域的创面修复可通过多种局部和远处带血管蒂皮瓣的不同术式来完成。我们介绍了使用14块下斜方肌肌皮岛状皮瓣的经验，涉及该皮瓣在这些区域创面修复中的独特应用和适用性，以及使用这种特定修复方法的相对和绝对禁忌证。此外，还介绍了术中技术及相关问题以及术后并发症。概述了该皮瓣与更传统的胸大肌肌皮瓣相比的总体优缺点。我们认为，由于该皮瓣具有独特的特性，包括范围广和皮瓣薄，这种重建方法在术前规划过程中值得考虑。
