Department of Otolaryngology-Head and Neck Surgery, University Hospital of Verona, Verona, Italy.
Division of Otorhinolaryngology-Head and Neck Surgery, "San Maurizio" Hospital, Bolzano, Italy.
Head Neck. 2021 May;43(5):1692-1694. doi: 10.1002/hed.26602. Epub 2021 Jan 12.
The procedure for salvage total laryngectomy (STL) is burdened by a high rate of postoperative complications as a result of delayed wound healing in previously irradiated tissue. Several observational studies have investigated the role of prophylactic vascularized flaps to aid pharyngeal closure after STL and prevent the development of PCF. The use of a temporoparietal fascia free flap (TFFF) as an overlay flap for STL has been described previously in two published studies and both sets of authors agreed that the most obvious benefit of the TFFF in STL is a reduced PCF rate with low site morbidity and good functional outcomes. The aim of this video is to illustrate the use of the temporoparietal fascia flap to provide an adjunctive reinforcement layer in the reconstruction of the pharynx.
挽救性全喉切除术（STL）的手术过程中，由于先前接受过放射治疗的组织愈合延迟，术后并发症的发生率很高。几项观察性研究探讨了预防性血管化皮瓣在 STL 后辅助咽闭合和预防咽瘘（PCF）发展中的作用。先前有两项已发表的研究描述了使用颞顶筋膜游离皮瓣（TFFF）作为 STL 的覆盖皮瓣，两组作者都认为 TFFF 在 STL 中的最明显优势是降低了 PCF 发生率，且部位发病率低，功能结果良好。本视频旨在说明使用颞顶筋膜瓣作为辅助加强层在咽重建中的应用。
