Song Dajiang, Pafitanis Georgios, Pont Luis Eduardo Parra, Yang Peng, Koshima Isao, Zhang Yixin, Iida Takuya, Zhou Xiao, Li Zan
Department of Oncology Plastic Surgery, Hunan Province Cancer Hospital and The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, Hunan, China.
The Royal London Hospital, Barts Health NHS Trust, Queen Mary University of London, London, United Kingdom.
Head Neck. 2018 Feb;40(2):302-311. doi: 10.1002/hed.24962. Epub 2017 Oct 11.
Circumferential hypopharyngeal defects with anterior neck skin loss often require double-stacked or chimeric flaps to achieve good surgical outcomes. The thoracoacromial artery perforator (TAAP) flap is a simple and reliable method for hypopharyngeal defect reconstruction.
From March 2012 to February 2015, 19 male patients with an average age of 62 years (range 42-81 years) underwent complex pharyngoesophageal defect reconstruction with chimeric TAAP flaps.
All 19 male patients who underwent reconstruction with TAAP flaps achieved optimal functional outcomes. All donor sites were closed primarily. The average length of hospital stay was 12.5 days (range 10-19 days). All patients returned back to normal nutrition after 8 weeks postoperatively. The average follow-up period was 19.3 months (range 14-48 months).
The chimeric TAAP flap is an innovative local alternative solution for reconstruction of complex circumferential hypopharyngeal defects when free tissue transfer is contraindicated or neck vessels are depleted.
伴有颈部前方皮肤缺损的下咽环形缺损通常需要双层或嵌合皮瓣以获得良好的手术效果。胸肩峰动脉穿支（TAAP）皮瓣是一种用于下咽缺损重建的简单可靠方法。
2012年3月至2015年2月，19例平均年龄62岁（范围42 - 81岁）的男性患者接受了嵌合TAAP皮瓣的复杂咽食管缺损重建术。
所有19例行TAAP皮瓣重建术的男性患者均获得了最佳功能效果。所有供区均一期缝合。平均住院时间为12.5天（范围10 - 19天）。所有患者术后8周恢复正常营养。平均随访期为19.3个月（范围14 - 48个月）。
当游离组织移植禁忌或颈部血管耗竭时，嵌合TAAP皮瓣是重建复杂下咽环形缺损的一种创新性局部替代方案。
