Har-El G, Krespi Y P, Goldsher M
Department of Otolaryngology, State University of New York Health Sciences Center, Brooklyn.
Arch Otolaryngol Head Neck Surg. 1989 Nov;115(11):1310-3. doi: 10.1001/archotol.1989.01860350044012.
This report documents our experience with a different concept in reconstructive head and neck surgery. This concept, we hoped, would enable us to reconstruct anatomic regions with a special contour that is otherwise difficult to achieve with conventional flaps and grafts. The first stage of this method includes implantation of a preshaped alloplastic material in a donor site of a commonly used myocutaneous flap and waiting 4 to 6 weeks for the implant to "take." The second stage includes raising the pedicled flap with the implant and transferring it to reconstruct the defect. As a model for this approach, tracheal defects in dogs were created and reconstructed. The technique used in this study can be specifically applied to reconstruction of tracheal defects, ie, subglottic stenosis, and also can be used for other defects in the head and neck region.
本报告记录了我们在重建性头颈外科中采用不同概念的经验。我们希望这个概念能够让我们重建具有特殊轮廓的解剖区域，而这是使用传统皮瓣和移植物难以实现的。该方法的第一阶段包括将预塑形的异体材料植入常用肌皮瓣的供区，并等待4至6周让植入物“固定”。第二阶段包括掀起带有植入物的带蒂皮瓣并将其转移以重建缺损。作为这种方法的一个模型，在犬身上制造并重建了气管缺损。本研究中使用的技术可具体应用于气管缺损的重建，即声门下狭窄，也可用于头颈区域的其他缺损。
