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头颈部重建中的区域挽救皮瓣选择

Regional Salvage Flap Options in Head and Neck Reconstruction.

作者信息

Correia Camil, Wang Weitao, Vincent Aurora G, Chan David, Ducic Yadranko

机构信息

Department of Otolaryngology - Head and Neck Surgery, Northwestern University, Chicago, Illinois.

Otolaryngology and Facial Plastic Associates, Fort Worth, Texas.

出版信息

Semin Plast Surg. 2020 Nov;34(4):293-298. doi: 10.1055/s-0040-1721767. Epub 2020 Dec 24.

Abstract

Microvascular free tissue transfer is the standard in the complex head and neck reconstruction with success rates greater than 95%. Free tissue transfer allows for more versatility in reconstructing complex defects with better tissue match. Failures, however, do occur and subsequent free tissue transfer might not be an option due to either the patients' health or in a vessel depleted neck. In these challenging salvage scenarios, the head and neck reconstructive surgeon must turn to regional flaps for reconstruction. Here, we review multiple regional flap options for salvage head and neck reconstruction.

摘要

微血管游离组织移植是复杂头颈部重建的标准方法,成功率超过95%。游离组织移植在重建复杂缺损时具有更大的灵活性,能实现更好的组织匹配。然而,失败情况确实会发生,而且由于患者健康状况或颈部血管条件差,后续可能无法进行游离组织移植。在这些具有挑战性的挽救性手术中,头颈部重建外科医生必须转而采用局部皮瓣进行重建。在此,我们回顾多种用于挽救性头颈部重建的局部皮瓣选择。

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Regional Salvage Flap Options in Head and Neck Reconstruction.头颈部重建中的区域挽救皮瓣选择
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本文引用的文献

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Clinical application of supraclavicular flap for head and neck reconstruction.锁骨上皮瓣在头颈部重建中的临床应用。
Eur Arch Otorhinolaryngol. 2019 Aug;276(8):2319-2324. doi: 10.1007/s00405-019-05483-9. Epub 2019 May 28.
6
Usefulness of supraclavicular flap in reconstruction following resection of oral cancer.锁骨上瓣在口腔癌切除术后重建中的应用价值
World J Otorhinolaryngol Head Neck Surg. 2017 Aug 4;4(2):148-152. doi: 10.1016/j.wjorl.2017.01.004. eCollection 2018 Jun.
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A Compound Pectoral Flap.复合胸肌皮瓣。
Aust N Z J Surg. 1971 Aug;38(1):61-63. doi: 10.1111/j.1445-2197.1971.tb05169.x.
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Supraclavicular flap repair in the free flap era.游离皮瓣时代的锁骨上皮瓣修复术。
ANZ J Surg. 2018 Jun;88(6):540-546. doi: 10.1111/ans.14263. Epub 2017 Nov 17.

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