双蒂颏下肌筋膜“吊床”瓣用于挽救性喉切除术闭合加强。
Bipedicled submental musculofascial "hammock" flap for salvage laryngectomy closure reinforcement.
作者信息
Hayden Richard E, Chang Brent A, Mullin David P, Patel Andrew K, Nagel Thomas H, Howard Brittany E, Hinni Michael L, Lott David G, Donald Carrlene B
机构信息
Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
Department of Otolaryngology/Head and Neck Surgery, Louisiana State University Health Sciences Center & Feist-Weiller Cancer Center, Shreveport, Louisiana, USA.
出版信息
Head Neck. 2021 Jan;43(1):198-202. doi: 10.1002/hed.26473. Epub 2020 Oct 12.
BACKGROUND
The aim of the study was to describe a novel technique for reinforcement of salvage laryngectomy closure using a bipedicled musculofascial submental flap.
METHODS
A retrospective cohort study design identified patients who underwent salvage laryngectomy reinforcement with a bipedicled submental hammock flap between January 2008 and December 2016 were compared to salvage laryngectomy patients treated with primary closure of the neopharynx during the same time period. Pharyngocutaneous fistula rates were compared between groups.
RESULTS
Pharyngocutaneous fistula rate in the submental hammock group (2/31, 6.5%) was significantly lower compared to the primary closure group (14/45, 31%, P < .05).
CONCLUSION
The bipedicled musculofascial submental hammock flap is a viable method for reinforcement of salvage laryngectomy defects. It has a favorable pharyngocutaneous fistula rate compared to primary closure alone and has unique advantages over conventional methods of reinforcement.
背景
本研究的目的是描述一种使用双蒂肌筋膜颏下皮瓣加强挽救性喉切除术闭合的新技术。
方法
采用回顾性队列研究设计，将2008年1月至2016年12月期间接受双蒂颏下皮瓣加强挽救性喉切除术的患者与同期接受新咽部一期闭合治疗的挽救性喉切除术患者进行比较。比较两组的咽皮肤瘘发生率。
结果
颏下皮瓣组的咽皮肤瘘发生率（2/31，6.5%）显著低于一期闭合组（14/45，31%，P < 0.05）。
结论
双蒂肌筋膜颏下皮瓣是加强挽救性喉切除术后缺损的一种可行方法。与单纯一期闭合相比，其咽皮肤瘘发生率较低，且相对于传统的加强方法具有独特优势。
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