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头颈部重建手术游离皮瓣的影像学评估

Imaging of Surgical Free Flaps in Head and Neck Reconstruction.

机构信息

From the Department of Diagnostic and Interventional Imaging (J.L.M.), University of Texas Health Sciences Center, Houston, Texas

Departments of Radiology and Imaging Sciences (A.S.C., P.A.H.).

出版信息

AJNR Am J Neuroradiol. 2019 Jan;40(1):5-13. doi: 10.3174/ajnr.A5776. Epub 2018 Nov 8.

Abstract

Head and neck surgical reconstruction is complex, and postoperative imaging interpretation is challenging. Surgeons now use microvascular free tissue transfer, also known as free flaps, more frequently in head and neck reconstruction than ever before. Thus, an understanding of free flaps, their expected appearance on cross-sectional imaging, and their associated complications (including tumor recurrence) is crucial for the interpreting radiologist. Despite the complexity and increasing frequency of free flap reconstruction, there is no comprehensive head and neck resource intended for the radiologist. We hope that this image-rich review will fill that void and serve as a go to reference for radiologists interpreting imaging of surgical free flaps in head and neck reconstruction.

摘要

头颈部外科重建是复杂的,术后影像学解释具有挑战性。与以往相比,外科医生现在更频繁地在手 头颈部重建中使用微血管游离组织转移,也称为游离皮瓣。因此,对于解释放射科医生来说,了解游离皮瓣、它们在横断面成像上的预期表现以及它们相关的并发症(包括肿瘤复发)是至关重要的。尽管游离皮瓣重建的复杂性和频率不断增加,但针对放射科医生的头颈部综合资源却很少。我们希望这本图像丰富的综述能够填补这一空白,并成为放射科医生解释头颈部游离皮瓣重建手术影像学的首选参考资料。

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