游离血管化肩胛旁脂肪瓣用于腮腺切除术重建。
Free vascularized parascapular fat flap for parotidectomy reconstruction.
机构信息
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, MO, USA; Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA.
出版信息
Am J Otolaryngol. 2021 Sep-Oct;42(5):103028. doi: 10.1016/j.amjoto.2021.103028. Epub 2021 Apr 7.
OBJECTIVE
The contour defect resulting after parotidectomy can be cosmetically unappealing. Multiple reconstructive efforts have been reported to mitigate this problem. We describe a novel technique of vascularized parascapular fat reconstruction based on the circumflex scapular vessels and evaluate its outcomes.
METHODS
Consecutive patients who underwent parotidectomy with or without additional resections and vascularized parascapular fat flap reconstruction in 2020 were included. Demographic, morphologic, intraoperative, and postoperative data were assessed.
RESULTS
Eight patients (3 female) were included. Median cut-to-close time was 247 (range 209-298) minutes, including tumor ablation. None of the patients had any wound complications, and all except one was discharged on postoperative day 1. Flap monitoring was not performed. None reported any significant donor site morbidity except scar formation. At last follow up, all patients reported satisfactory facial contour.
CONCLUSION
Vascularized parascapular fat flap reconstruction of parotidectomy contour defects has satisfactory cosmetic outcomes with minimal morbidity and short hospitalization courses.
目的
腮腺切除术后会出现轮廓缺陷，影响美观。有多种重建方法已被报道用于减轻这个问题。我们描述了一种基于旋肩胛血管的血管化肩胛旁脂肪重建的新技术，并评估了其结果。
方法
回顾性分析 2020 年接受腮腺切除术和/或附加切除术及血管化肩胛旁脂肪瓣重建的连续患者。评估了患者的人口统计学、形态学、术中及术后资料。
结果
共纳入 8 例患者（3 例女性）。中位切皮至关皮时间为 247（209-298）分钟，包括肿瘤消融。无患者出现伤口并发症，除 1 例外所有患者均在术后第 1 天出院。未进行皮瓣监测。除了瘢痕形成外，所有患者均报告供区轻微并发症。末次随访时，所有患者均对面部轮廓满意。
结论
血管化肩胛旁脂肪瓣重建腮腺切除术轮廓缺陷具有令人满意的美容效果，且并发症少，住院时间短。
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