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口咽癌切除术后鼻中隔瓣重建:一例报告。

Nasoseptal flap reconstruction after oropharyngeal cancer resection: A case report.

作者信息

Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul

机构信息

Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Jeonnam, Korea.

出版信息

Medicine (Baltimore). 2017 Nov;96(44):e8527. doi: 10.1097/MD.0000000000008527.

Abstract

RATIONALE

The nasoseptal flap has been widely used to reconstruct skull base defects with excellent success rates. Recently, there were several attempts to use this flap for other defects. Patient concerns: We present the case of the nasoseptal flap reconstruction after oropharyngeal cancer resection.

DIAGNOSIS

The diagnosis of this patient was oropharyngeal T3 squamous cell carcinoma.

INTERVENTIONS

The surgical resection included the right radical tonsillectomy, uvular, and part of the soft palate and hard palate. The nasoseptal flap was sutured to the oropharyngeal defect.

OUTCOMES

In spite of the radiation therapy, the nasoseptal flap was well healed to the oropharyngeal defect.

LESSONS

We suggest that the nasoseptal flap may be a feasible reconstruction option for oropharyngeal defect after oropharyngeal cancer resection.

摘要

理论依据

鼻中隔瓣已被广泛用于重建颅底缺损,成功率极高。最近,有几次尝试将此皮瓣用于其他缺损。患者情况:我们展示了1例口咽癌切除术后鼻中隔瓣重建的病例。

诊断

该患者诊断为口咽T3期鳞状细胞癌。

干预措施

手术切除包括右侧根治性扁桃体切除术、悬雍垂以及部分软腭和硬腭。将鼻中隔瓣缝合至口咽缺损处。

结果

尽管进行了放射治疗,鼻中隔瓣与口咽缺损处愈合良好。

经验教训

我们认为鼻中隔瓣可能是口咽癌切除术后口咽缺损可行的重建选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72df/5682834/4a876e176064/medi-96-e8527-g001.jpg

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