Panje W R, Krause C J, Bardach J
Laryngoscope. 1977 May;87(5 Pt 1):692-8. doi: 10.1002/lary.5540870505.
Free flap reconstruction is discussed with emphasis on microsurgical technique utilized in union of blood vessels 1 mm in external diameter. Proper microsurgical instrumentation, magnification and small vessel suture technique are all of importance in achieving a successful microvascular anastomosis. Technical maneuvers employed in identifying and avoiding small vessel thrombosis are presented. Surgical techniques, as presented here, have allowed us to successfully use free flaps to reconstruct large oral cavity defects following ablative cancer operations.
本文讨论了游离皮瓣重建，重点介绍了外径1毫米血管吻合中所采用的显微外科技术。合适的显微外科器械、放大设备和小血管缝合技术对于成功实现微血管吻合均至关重要。文中还介绍了识别和避免小血管血栓形成所采用的技术操作。本文所介绍的手术技术使我们能够成功地运用游离皮瓣重建癌症切除术后的大型口腔缺损。
