Patel Stavan Y, Meram Andrew T, Kim Dongsoo D
Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Science Center, 1501 Kings Highway, Shreveport, LA 71103, USA.
Department of Oral and Maxillofacial Surgery/Head and Neck Surgery, Louisiana State University Health Science Center, 1501 Kings Highway, Shreveport, LA 71103, USA.
Oral Maxillofac Surg Clin North Am. 2019 Feb;31(1):39-68. doi: 10.1016/j.coms.2018.08.004.
Soft tissue reconstruction of head and neck ablative defects is a broad, challenging, and subjective topic. The authors outline goals to keep in mind when deciding on a primary reconstructive option for defects created by oncologic resection. Factors considered in local, regional, and distant flap selection are discussed. Based on the goals of reconstruction and factors involved in flap selection, a defect-based reconstructive algorithm is developed to help choose the ideal reconstructive option. The authors also discuss indications, pearls, pitfalls, and challenges in the harvest and inset of commonly used soft tissue flaps for head and neck reconstructive surgery.
头颈部切除术后缺损的软组织重建是一个广泛、具有挑战性且主观的话题。作者概述了在为肿瘤切除造成的缺损选择一期重建方案时应牢记的目标。讨论了在选择局部、区域和远位皮瓣时所考虑的因素。基于重建目标和皮瓣选择所涉及的因素，开发了一种基于缺损的重建算法，以帮助选择理想的重建方案。作者还讨论了头颈部重建手术中常用软组织皮瓣切取和植入的适应证、要点、陷阱及挑战。
