Correia Camil, Wang Weitao, Vincent Aurora G, Chan David, Ducic Yadranko
Department of Otolaryngology - Head and Neck Surgery, Northwestern University, Chicago, Illinois.
Otolaryngology and Facial Plastic Associates, Fort Worth, Texas.
Semin Plast Surg. 2020 Nov;34(4):293-298. doi: 10.1055/s-0040-1721767. Epub 2020 Dec 24.
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.
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。