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采用非解剖学游离皮瓣进行环周咽食管重建及全喉保留术

Circumferential Pharyngoesophageal Reconstruction and Total Larynx Preservation with Extra-anatomical Free Flaps.

作者信息

Lasso Jose M, Castellano Michele, Pinilla Carmen, González-Pozega Carlota, Pérez-Cano Rosa

机构信息

Department of Plastic and Reconstructive Surgery, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

出版信息

Plast Reconstr Surg Glob Open. 2018 Nov 19;6(11):e2008. doi: 10.1097/GOX.0000000000002008. eCollection 2018 Nov.

DOI:10.1097/GOX.0000000000002008
PMID:30881802
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6414114/
Abstract

Reconstruction of total circumferential pharyngeal defects following caustic or stenosant lesions of the pharynx present major challenges with respect to minimizing surgical morbidity and restoring functional deficits. With recent advances in microvascular free tissue transfer, the options for pharyngeal reconstruction have multiplied in order to maximize swallowing and voice. There is long experience in the reconstruction of the pharynx and the cervical esophagus in oncological patients after total pharyngolaryngectomy, but there are not many publications concerning circumferential pharyngeal reconstruction preserving the larynx. Here, we discuss 2 new techniques for total circumferential pharyngeal reconstruction respecting swallowing and voice by means of extra-anatomical bypasses (visceral or fasciocutaneous), upholding the larynx in its original placement.

摘要

咽部腐蚀性或狭窄性病变后全周性咽缺损的重建在尽量减少手术并发症和恢复功能缺陷方面面临重大挑战。随着微血管游离组织移植技术的最新进展，咽重建的选择增多，以最大限度地改善吞咽和发声功能。在全喉咽切除术后肿瘤患者的咽和颈段食管重建方面有长期经验，但关于保留喉的全周性咽重建的出版物并不多。在此，我们讨论两种通过解剖外旁路（内脏或筋膜皮瓣）进行全周性咽重建的新技术，这些技术在保留喉原位的情况下兼顾吞咽和发声功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/bdd759ed1677/gox-6-e2008-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/1c2511d68d37/gox-6-e2008-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/02234a4ec46d/gox-6-e2008-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/ed26af611e71/gox-6-e2008-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/755a1d61790c/gox-6-e2008-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/bdd759ed1677/gox-6-e2008-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/1c2511d68d37/gox-6-e2008-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/02234a4ec46d/gox-6-e2008-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/ed26af611e71/gox-6-e2008-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/755a1d61790c/gox-6-e2008-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0ab/6414114/bdd759ed1677/gox-6-e2008-g005.jpg

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Pharyngoesophageal Reconstruction with A Tubed Radial Forearm Free Flap: A Case Report.带蒂桡侧前臂游离皮瓣用于咽食管重建：病例报告
World J Plast Surg. 2024;13(2):77-81. doi: 10.61186/wjps.13.2.77.

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