Song Dajiang, Li Zan, Zhou Xiao, Zhang Yixin, Peng Xiaowei, Zhou Bo, Lyu Chunliu, Yang Lichang, Peng Wen
Zhonghua Zheng Xing Wai Ke Za Zhi. 2016 Jul;32(4):245-8.
To explore the clinical effect of thoracoacromial artery perforator (TAAP) flap as a reconstructive option for hypopharyngeal defects.
Between June 2011 and November 2015,TAAP flap was used to restore oncologic hypopharyngeal defects in 13 patients with recurrence of hypopharyngeal carcinoma. The size of hypopharyngeal defects ranged from 7.0 cm× 4.5 cm to 8.5 cm × 5.5 cm. Doppler was used to detect the location of thoracoacromial artery perforator. The flap was designed on the line joining the acromion to the xiphoid process with the size 0.5-1.0 cm larger than the defect,the flap was passed under the clavicular head of the pectoralis major and under the clavicle bone and sternocleidomastoid to the recipient site for insetting. The donor site was closed directly.
The size of TAAP flap is from 7.0 cm×5.0 cm to 9.5 cmu×6.0 cm. The length of pedicle is 7.5-9.0 cm. The distance from pivot point of flap to central point of recipient site was 9.0-10.5 cm. All 13 flaps survived completely, the defect at donor site was closed directly in all cases. Good appearance was achieved at 8 months to 42 months' follow up, with no recurrence, fistulas, stenosis/strictures, dehiscence, or swelling, only linear scars were left on the donor sites, pectoralis major muscle function was completely preserved in all patients.
TAAP flap is a good choice for reconstruction of hypopharyngeal defects.
探讨胸肩峰动脉穿支（TAAP）皮瓣修复下咽缺损的临床效果。
2011年6月至2015年11月，采用TAAP皮瓣修复13例下咽癌复发患者的肿瘤性下咽缺损。下咽缺损大小为7.0 cm×4.5 cm至8.5 cm×5.5 cm。使用多普勒检测胸肩峰动脉穿支的位置。皮瓣设计在肩峰至剑突的连线上，尺寸比缺损大0.5 - 1.0 cm，皮瓣经胸大肌锁骨头下方、锁骨及胸锁乳突肌下方至受区进行植入。供区直接缝合。
TAAP皮瓣大小为7.0 cm×5.0 cm至9.5 cm×6.0 cm。蒂长7.5 - 9.0 cm。皮瓣旋转点至受区中心点的距离为9.0 - 10.5 cm。13块皮瓣全部完全存活，所有病例供区缺损均直接缝合。随访8个月至42个月，外形良好，无复发、瘘管、狭窄/缩窄、裂开或肿胀，供区仅留线性瘢痕，所有患者胸大肌功能完全保留。
TAAP皮瓣是修复下咽缺损的良好选择。
