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本文引用的文献

1
Reconstruction of lower and midfacial soft tissue defects with a submental island flap.颏下岛状瓣修复面下部及中面部软组织缺损。
J Plast Reconstr Aesthet Surg. 2022 Aug;75(8):2752-2756. doi: 10.1016/j.bjps.2022.04.038. Epub 2022 Apr 25.
2
The submental island flap in head and neck reconstruction: A 10-year experience examining application, oncologic safety, and role of comorbidity.颏下岛状皮瓣在头颈部重建中的应用：一项为期10年的关于应用、肿瘤安全性及合并症作用的研究。
Laryngoscope Investig Otolaryngol. 2022 Feb 17;7(2):361-368. doi: 10.1002/lio2.741. eCollection 2022 Apr.
3
Systematic review of submental artery island flap versus free flap in head and neck reconstruction.颏下动脉岛状瓣与游离皮瓣在头颈部重建中的系统评价。
Am J Otolaryngol. 2021 Nov-Dec;42(6):103142. doi: 10.1016/j.amjoto.2021.103142. Epub 2021 Jun 18.
4
Types of Transnasal Endoscopic Nasopharyngectomy for Recurrent Nasopharyngeal Carcinoma: Shanghai EENT Hospital Experience.复发性鼻咽癌经鼻内镜鼻咽切除术的类型：上海眼耳鼻喉科医院经验
Front Oncol. 2021 Jan 14;10:555862. doi: 10.3389/fonc.2020.555862. eCollection 2020.
5
Discussion: Twenty-Five Years of Experience with the Submental Flap in Facial Reconstruction: Evolution and Technical Refinements following 311 Cases in Europe and Africa.讨论：颏下皮瓣在面部重建中的25年经验：欧洲和非洲311例病例后的演变与技术改进
Plast Reconstr Surg. 2019 Jun;143(6):1759-1760. doi: 10.1097/PRS.0000000000005679.
6
Anatomical Study and Clinical Application of Facial Artery Perforator Flaps in Intraoral Reconstruction: Focusing on Venous System.面动脉穿支皮瓣在口腔内重建中的解剖学研究及临床应用：以静脉系统为重点
J Oral Maxillofac Surg. 2017 Mar;75(3):649.e1-649.e10. doi: 10.1016/j.joms.2016.11.018. Epub 2016 Nov 26.

[颏下皮瓣在鼻咽癌鼻咽切除术中的应用]

[The application of submental flap in the nasopharyngectomy for nasopharyngeal carcinoma].

作者信息

Zhang Huankang, Zhang Ming, Jiang Xiaowen, Xue Kai, Sun Xicai, Liu Quan, Gu Ye, Li Wanpeng, Song Xiaole, Yu Hongmeng

机构信息

Department of Otolaryngology，Eye & ENT Hospital，Fudan University，Shanghai，200031，China.

Department of Otolaryngology，Huazhong University of Science and Technology Union Shenzhen Hospital（Nanshan Hospital.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2022 Jul;36(7):506-509;514. doi: 10.13201/j.issn.2096-7993.2022.07.005.

DOI:10.13201/j.issn.2096-7993.2022.07.005
PMID:35822376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10128394/
Abstract

To explore the anatomy and clinical application of submental flap in the nasopharyngectomy for nasopharyngeal carcinoma. The anatomical study of the submental flap was carried out on 5 cadavers, focusing on exploring the channel of the submental flap transposition to the nasopharyngeal skull base area, and analyzing the nasopharyngeal skull base area covered by the submental flap. A retrospective analysis of 4 patients with submental flap repairment after nasopharyngectomy was performed, and the surgical methods and techniques of submental flap to repair nasopharyngeal nasal skull base defect were introduced in detail. Rusults: It showed that the submental flap could be transposed into the nasopharyngeal skull base through the posteromedial of the mandible-posterior pterygoid muscle-parapharyngeal space channel, and could cover the paraclival internal carotid artery. Clinical practice showed that the submental flap was successfully used to repair the nasopharyngeal skull base defect in 4 patients, and the submental flap grew well in the follow-up. The submental flap is suitable for the repair of the nasopharyngeal skull base defect after nasopharyngeal carcinoma surgery, and it is worthy of clinical promotion.

摘要

探讨颏下皮瓣在鼻咽癌鼻咽切除术中的解剖学特点及临床应用。对5具尸体进行颏下皮瓣的解剖学研究，重点探索颏下皮瓣转移至鼻咽颅底区域的通道，并分析颏下皮瓣所覆盖的鼻咽颅底区域。对4例行鼻咽切除术后颏下皮瓣修复的患者进行回顾性分析，详细介绍颏下皮瓣修复鼻咽鼻颅底缺损的手术方法及技巧。结果：结果显示，颏下皮瓣可通过下颌骨后内侧-翼内肌-咽旁间隙通道转移至鼻咽颅底，且可覆盖斜坡旁颈内动脉。临床实践表明，4例患者颏下皮瓣成功用于修复鼻咽颅底缺损，随访中颏下皮瓣生长良好。颏下皮瓣适用于鼻咽癌术后鼻咽颅底缺损的修复，值得临床推广。