Katsantonis G P
St. Louis University School of Medicine, MO.
Laryngoscope. 1988 Dec;98(12):1313-23. doi: 10.1288/00005537-198812000-00007.
Recently, neurotization has been proposed for providing mobility to the pectoralis major, or other myocutaneous flap in lingual reconstruction following total glossectomy. The development of an active tongue-like structure may offer the patient higher potential for rehabilitation of speech and deglutition. The purpose of this thesis is to report experimental and clinical observations on neurotization of the pectoralis major myocutaneous flap. The pectoralis major myoflap of 16 rats was reinnervated by either a hypoglossal nerve pedicle of hypoglossal-genioglossus muscle neuromuscular pedicle. Functional flap reinnervation was confirmed in eight of the 16 animals. The author's clinical experience with reconstruction of the tongue utilizing neurotized pectoralis major myocutaneous flap is presented.
最近，有人提出采用神经移植术使胸大肌或全舌切除术后舌再造中使用的其他肌皮瓣具有活动能力。形成一个活跃的舌样结构可能会为患者提供更高的言语和吞咽康复潜力。本论文的目的是报告关于胸大肌肌皮瓣神经移植术的实验和临床观察结果。16只大鼠的胸大肌肌瓣通过舌下神经蒂或舌下-颏舌肌神经肌肉蒂进行神经再支配。16只动物中有8只证实肌瓣获得了功能性神经再支配。本文介绍了作者使用经神经移植的胸大肌肌皮瓣进行舌再造的临床经验。
