Gan Weigang, Xiang Yu, Lv Dan, Liu Jun, Wang Haiyang, Deng Di, Wang Ji, Li Linke, Ma Tengfei, Liu Shixi, Chen Fei
Department of Otorhinolaryngology-Head and Neck Surgery, West China Hospital, West China School of Medicine, Sichuan University, Chengdu.
Morphometric Research Laboratory, North Sichuan Medical College, Nanchong, Sichuan, China.
Medicine (Baltimore). 2020 Jan;99(5):e18810. doi: 10.1097/MD.0000000000018810.
Complex reconstruction skills in advanced head and neck cancer (HNC) could resolve the key problem of large defects after tumor resection. We combined the anterolateral thigh free flap, fascia lata flap, and greater saphenous vein graft in the reconstruction process of salvage surgery. Seven patients suffering from advanced HNC who experienced the failure of multiple therapeutic methods were enrolled in our study between June 2017 and January 2018. They all agreed to voluntarily undergo the tumor excision and complex reconstruction procedure we developed. The total flap size ranged from 20 × 13 cm to 30 × 15 cm. The length of the greater saphenous vein graft ranged from 4 to 11 cm. The hospitalization period ranged from 7 to 33 days. All of the flaps were viable, but in 1 patient, oral flap edge infection and necrosis necessitated partial debridement on day 7 postoperatively. All donor sites were closed primarily. We report our experience with this surgical method for complex reconstruction in advanced HNC patients.
晚期头颈癌（HNC）的复杂重建技术可解决肿瘤切除后大缺损的关键问题。我们在挽救性手术的重建过程中联合应用了股前外侧游离皮瓣、阔筋膜张肌皮瓣和大隐静脉移植。2017年6月至2018年1月，我们纳入了7例经历多种治疗方法失败的晚期HNC患者。他们均自愿同意接受我们开展的肿瘤切除及复杂重建手术。皮瓣总面积为20×13cm至30×15cm。大隐静脉移植长度为4至11cm。住院时间为7至33天。所有皮瓣均存活，但1例患者在术后第7天出现口腔皮瓣边缘感染和坏死，需要进行部分清创。所有供区均一期缝合。我们报告了这种手术方法用于晚期HNC患者复杂重建的经验。
