股前外侧蝶形游离皮瓣在喉咽缺损重建中的应用：手术要点。
Anterolateral thigh butterfly free flap for reconstruction of laryngopharyngeal defect: surgical considerations.
机构信息
Department of Head and Neck - Endocrine Oncology, H Lee Moffitt Cancer Center, Tampa, Florida, USA.
Department of Otolaryngology - Head and Neck Surgery, James Cancer Hospital and Solove Research Institute, Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
出版信息
J Laryngol Otol. 2022 Sep;136(9):878-881. doi: 10.1017/S0022215121004394. Epub 2022 Apr 7.
BACKGROUND
Reconstruction of a pharyngoesophageal defect remains a challenging problem, especially with involvement of the neck skin. This study aimed to demonstrate the surgical technique of utilising a butterfly modification of the anterolateral thigh flap.
RESULTS
Reconstruction of the pharyngoesophageal defect was accomplished using the butterfly modification of the anterolateral thigh free flap. The flap was tubed on the leg while still being attached to the pedicle, to minimise the ischaemia time.
CONCLUSION
Butterfly anterolateral thigh free flap allows for multi-layer closure of the neopharynx and can be utilised for reconstruction of pharyngoesophageal and neck skin defects.
背景
咽食管缺损的重建仍然是一个具有挑战性的问题，尤其是涉及颈部皮肤时。本研究旨在展示利用股前外侧皮瓣蝴蝶式改良进行手术的技术。
结果
使用蝴蝶式改良股前外侧游离皮瓣完成咽食管缺损的重建。皮瓣在腿部被制成管状，同时仍与蒂相连，以最大限度地减少缺血时间。
结论
蝴蝶式股前外侧游离皮瓣可实现新咽部的多层闭合，并可用于咽食管和颈部皮肤缺损的重建。
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