经口机器人挽救性咽旁切除术联合颏下动脉岛状瓣重建。
Transoral robotic salvage oropharyngectomy with submental artery island flap reconstruction.
机构信息
Department of Otolaryngology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts, USA.
出版信息
Head Neck. 2021 Feb;43(2):E13-E19. doi: 10.1002/hed.26543. Epub 2020 Nov 19.
BACKGROUND
Transoral robotic surgery (TORS) is an effective approach for select salvage oropharyngeal resections. Reconstruction in these scenarios is often necessary for vascular coverage and optimal functional outcomes but can be challenging. The submental artery island flap (SAIF) is well-suited to this reconstruction.
DESIGN/METHOD: Two patients presented with recurrent oropharyngeal tumors after chemoradiation. Each tumor was resected using TORS, and the SAIF was utilized for reconstruction. Flap inset was completed using TORS in one case.
RESULTS
Both patients experienced uneventful recovery free from bleeding events or fistula formation and experienced no partial flap loss or donor site complications.
CONCLUSIONS
The SAIF is a simple reconstructive option for TORS defects that may be inset using robotic assistance and avoids the need for free tissue transfer.
背景
经口机器人手术（TORS）是选择性挽救性或口咽切除术的有效方法。在这些情况下，为了实现血管覆盖和最佳功能结果，通常需要进行重建，但这可能具有挑战性。颏下动脉岛状皮瓣（SAIF）非常适合这种重建。
设计/方法：两名患者在放化疗后出现复发性口咽肿瘤。每个肿瘤均采用 TORS 切除，使用 SAIF 进行重建。在其中一个病例中，使用 TORS 完成皮瓣插入。
结果
两名患者均顺利恢复，无出血事件或瘘形成，无部分皮瓣坏死或供区并发症。
结论
SAIF 是 TORS 缺损的一种简单重建选择，可使用机器人辅助进行皮瓣插入，避免了游离组织移植的需要。
Zotero 插件