用于修复大型头颈部缺损的局部带蒂皮瓣挽救方案：旧法、新法与被遗忘的方法。
Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten.
作者信息
Chang Brent A, Asarkar Ameya A, Horwich Peter M, Nathan Cherie Ann O, Hayden Richard E
机构信息
Department of Otolaryngology - Head & Neck Surgery Mayo Clinic Arizona Phoenix Arizona USA.
Department of Otolaryngology/Head and Neck Surgery Louisiana State University Health Sciences Center & Feist-Weiller Cancer Center Shreveport Louisiana USA.
出版信息
Laryngoscope Investig Otolaryngol. 2022 Nov 29;8(1):63-75. doi: 10.1002/lio2.983. eCollection 2023 Feb.
OBJECTIVES
The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting.
METHODS
Relevant regional pedicled flaps were identified and reviewed. Expert opinion and supporting literature were used to summarize and describe the available options.
RESULTS
Specific regional pedicled flap options are presented including the pectoralis major flap, deltopectoral flap, supraclavicular flap, submental flap, latissimus flap, and trapezius flap.
CONCLUSIONS
Regional pedicled flaps are useful options in a salvage setting even for large defects and should be in the armamentarium of any reconstructive head and neck surgeon. Each flap option carries specific characteristics and considerations.
目的
本文的目的是回顾在挽救性治疗中用于修复大型头颈部缺损的区域带蒂皮瓣重建方案。
方法
识别并回顾相关的区域带蒂皮瓣。利用专家意见和支持性文献来总结和描述可用方案。
结果
介绍了具体的区域带蒂皮瓣方案，包括胸大肌皮瓣、三角肌胸大肌皮瓣、锁骨上皮瓣、颏下皮瓣、背阔肌皮瓣和斜方肌皮瓣。
结论
区域带蒂皮瓣在挽救性治疗中是有用的选择，即使对于大型缺损，也应是任何头颈重建外科医生的技术储备。每种皮瓣方案都有其特定的特点和注意事项。
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