颏下岛状皮瓣的应用解剖及其在下咽癌切除术后缺损修复中的临床应用
Applied anatomy of the submental island flap and its clinical application in the repair of defects following hypopharyngeal carcinoma resection.
作者信息
Chen Xi, Zhou Han, Zhang Yong-Jie, Yin Lin, Lu Mei-Ping, Xing Guang-Qian, Lin Zi-Ping, Cheng Lei
机构信息
Department of Otorhinolaryngology, The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, China.
Department of Human Anatomy, School of Basic Medical Sciences, Nanjing Medical University, Nanjing 210029, China.
出版信息
World J Otorhinolaryngol Head Neck Surg. 2015 Nov 10;1(1):44-49. doi: 10.1016/j.wjorl.2015.09.003. eCollection 2015 Sep.
OBJECTIVE
To explore the feasibility of the submental island flap in the repair of hypopharyngeal defects.
METHODS
We collected wet specimens of fresh cadaveric heads from the Han Chinese adult population for applied anatomy of the submental island flap, and followed five patients with pyriform sinus carcinoma after reconstruction surgery using submental island flaps.
RESULTS
We found that the average length and width of the submental island flaps were (65.20 ± 11.69) mm and (46.70 ± 6.59) mm, respectively. The skin flap in all five patients survived after surgery, and tracheal tubes and gastric tubes were removed 7-36 days after surgery. Patients were followed up for 24-42 months, pharyngeal flaps grew well, and speech and swallowing functions were satisfactory.
CONCLUSION
The submental island flap is a preferred material for the repair of hypopharyngeal defects after hypopharyngeal carcinoma resection, because of good blood supply, easy harvesting, and high survival rate.
目的
探讨颏下岛状皮瓣修复下咽缺损的可行性。
方法
收集汉族成年人群新鲜尸体头部湿标本用于颏下岛状皮瓣的应用解剖学研究，并对5例梨状窝癌患者行颏下岛状皮瓣修复重建手术后进行随访。
结果
发现颏下岛状皮瓣平均长度和宽度分别为(65.20 ± 11.69)mm和(46.70 ± 6.59)mm。5例患者术后皮瓣全部成活，术后7 - 36天拔除气管套管和胃管。随访24 - 42个月，咽瓣生长良好，言语及吞咽功能满意。
结论
颏下岛状皮瓣血供良好、取材容易、成活率高，是下咽癌切除术后修复下咽缺损的首选材料。
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