Rees R, Cary A, Shack R B, Harris P F
Department of Plastic Surgery, Vanderbilt University, School of Medicine, Nashville, Tennessee 37232.
Am J Surg. 1987 Oct;154(4):381-3. doi: 10.1016/0002-9610(89)90008-1.
Two hundred cases of head and neck cancer were reviewed and 16 pharyngocutaneous fistulas identified, for an incidence of 6 percent. The fistulas were closed with pectoralis major muscle flaps in four patients, pectoralis musculocutaneous flaps in seven patients, sternocleidomastoid muscle flaps in four patients, and latissimus dorsi flaps in two patients. Four types of fistulas were identified, and flap selection was determined by fistula location. Successful closure was obtained in 15 patients (88 percent), although one patient died from recurrence with a persistent fistula.
回顾了200例头颈部癌病例，发现16例咽皮肤瘘，发生率为6%。4例患者采用胸大肌皮瓣关闭瘘口，7例患者采用胸大肌肌皮瓣，4例患者采用胸锁乳突肌皮瓣，2例患者采用背阔肌皮瓣。确定了4种类型的瘘，并根据瘘的位置选择皮瓣。15例患者（88%）成功闭合，尽管1例患者因瘘持续存在复发而死亡。
