Edwards Sean P
Oral and Maxillofacial Surgery Residency Program, University of Michigan, 1500 E Medical Center Drive RM C213, Ann Arbor, MI 48109, USA; Pediatric Maxillofacial Surgery, C.S. Mott Children's Hospital, Michigan Medicine, 1540 E Hospital Drive SPC 4219, Ann Arbor, MI 48109-4219, USA.
Oral Maxillofac Surg Clin North Am. 2017 Aug;29(3):377-381. doi: 10.1016/j.coms.2017.05.001.
Microvascular reconstruction of ablative defects has become a mainstay of contemporary management of head and neck cancer patients. These techniques offer myriad tissue options that vary in character, volume, and components and have vastly improved the esthetic and functional outcomes achieved in this patient population. Although consensus exists regarding the reliability and functional and esthetic benefits of free tissue transfer, the same cannot be said for oncologic outcomes. The increase in resources required for the routine use of free tissue transfer has led to asking this question-Do vascularized free flaps allow for increased surgical margins and improvements in oncologic outcomes?
对头颈部癌患者进行消融性缺损的微血管重建已成为当代治疗的主要手段。这些技术提供了无数种组织选择，这些组织在特性、体积和成分上各不相同，极大地改善了该患者群体的美学和功能效果。尽管对于游离组织移植的可靠性以及功能和美学益处已达成共识，但肿瘤学结果却并非如此。常规使用游离组织移植所需资源的增加引发了这样一个问题——带血管游离皮瓣能否增加手术切缘并改善肿瘤学结果？
