Asairinachan A, O'Duffy F, Li M P, Fua T, Chauhan A, Magarey M J R, Dixon B J
Department of Surgical Oncology, Head and Neck Surgery, Peter MacCallum Cancer Centre, Melbourne, Australia.
Department of Radiation Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia.
J Laryngol Otol. 2019 Oct;133(10):884-888. doi: 10.1017/S002221511900183X. Epub 2019 Sep 2.
There has been little reported on the transoral reconstructive options following salvage transoral robotic surgery. This paper describes the facial artery musculomucosal flap as a method to introduce vascularised tissue to a previously irradiated resection bed.
A facial artery musculomucosal flap was used to reconstruct the lateral pharyngeal wall in 13 patients undergoing salvage transoral robotic surgery for oropharyngeal squamous cell carcinoma. Outcomes recorded include flap and donor site complications, length of stay, and swallowing and speech outcomes.
There were no immediate or late flap complications, or cases of delayed wound healing in this series. There were two facial artery musculomucosal related complications requiring surgical management: one bleed from the facial artery musculomucosal donor site and one minor surgical revision. Healing of the flap onto the resection bed was successful in all cases.
The facial artery musculomucosal flap provides a suitable transoral local flap option for selected patients undergoing salvage transoral robotic surgery for oropharyngeal malignancies.
关于挽救性经口机器人手术后经口重建选择的报道较少。本文描述了面动脉肌黏膜瓣作为一种将带血管组织引入先前接受过放疗的切除床的方法。
13例接受挽救性经口机器人手术治疗口咽鳞状细胞癌的患者采用面动脉肌黏膜瓣重建咽侧壁。记录的结果包括皮瓣和供区并发症、住院时间以及吞咽和言语结果。
本系列中无即刻或晚期皮瓣并发症，也无伤口愈合延迟的病例。有两例与面动脉肌黏膜瓣相关的并发症需要手术处理：一例来自面动脉肌黏膜瓣供区出血，一例进行了小的手术修复。所有病例皮瓣在切除床上均成功愈合。
对于接受挽救性经口机器人手术治疗口咽恶性肿瘤的特定患者，面动脉肌黏膜瓣提供了一种合适的经口局部皮瓣选择。
