Murakami Y, Ikari T, Haraguchi S, Okada K, Maruyama T, Tateno H
Department of Otolaryngology, Keio University School of Medicine, Tokyo, Japan.
Arch Otolaryngol Head Neck Surg. 1988 Jul;114(7):770-4. doi: 10.1001/archotol.1988.01860190074027.
We describe three surgical methods used to repair salivary fistulas in different situations that are seen after reconstruction of the pharyngoesophagus in patients with hypopharyngeal cancer. The principle of these methods is the same; a cervical skin flap next to the fistula is used as the internal lining and an anterior chest skin flap is rotated as an external lining to cover it. For the primary closure of heavily irradiated fistulas, this combination may not always be effective, and we emphasize that a combined use of a pedicled pectoralis major muscle flap with these two kinds of pedicled skin flap is extremely reliable.
我们描述了三种用于修复下咽癌患者咽食管重建术后不同情况下唾液瘘的手术方法。这些方法的原理相同；瘘管旁的颈部皮瓣用作内衬，旋转前胸皮瓣作为外衬来覆盖它。对于严重放疗后瘘管的一期缝合，这种组合可能并不总是有效，我们强调将带蒂胸大肌皮瓣与这两种带蒂皮瓣联合使用极为可靠。
