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头颈部重建中的区域性皮瓣供区。

Regional Flap Donor Sites in Head and Neck Reconstruction.

机构信息

Department of Head & Neck Surgical Oncology, Estabrook Cancer Center, Nebraska Methodist Hospital, 8303 Dodge Street Suite 304, Omaha, NE, USA.

Department of Otolaryngology Head & Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, 243 Charles Street, Boston, MA 02114, USA.

出版信息

Otolaryngol Clin North Am. 2023 Aug;56(4):639-651. doi: 10.1016/j.otc.2023.04.008. Epub 2023 May 26.

Abstract

Regional flaps are vital to head and neck reconstruction, allowing surgeons to harvest numerous reliable flaps without the need for microvascular anastomosis. These flaps are very useful in cases of vascular depletion and may prove superior to free flaps as a primary option in certain circumstances. Numerous harvest options are available, and the described harvest techniques are safe and straightforward for an experienced reconstructive surgeon to learn. Donor site morbidity is variable depending on flap selection but minimal in many cases. Regional flaps are an excellent option in resource-limited settings or when minimizing reoperation is a high priority.

摘要

区域皮瓣对头颈部重建至关重要,它使外科医生能够在无需进行微血管吻合的情况下采集多种可靠的皮瓣。在血管耗竭的情况下,这些皮瓣非常有用,在某些情况下,它们可能优于游离皮瓣,成为首选。有许多可供选择的采集方法,对于有经验的重建外科医生来说,所描述的采集技术是安全且简单的。供区发病率因皮瓣选择而异,但在许多情况下很小。在资源有限的情况下,或者当尽量减少再次手术是当务之急时,区域皮瓣是一个极好的选择。

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