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即刻游离胃网膜瓣修复口腔和咽喉

Immediate free gastro-omental flap reconstruction of the mouth and throat.

作者信息

Panje W R, Little A G, Moran W J, Ferguson M K, Scher N

出版信息

Ann Otol Rhinol Laryngol. 1987 Jan-Feb;96(1 Pt 1):15-21. doi: 10.1177/000348948709600104.

DOI:10.1177/000348948709600104
PMID:3813380
Abstract

A portion of the greater curve of the stomach with its attached omentum was transplanted to reconstruct the pharynx and oral cavity after ablation of upper aerodigestive tract cancer. The tissue characteristics of the transplanted material were similar to those of the removed oropharyngeal tissue. The gastro-omental free flap produced a moist mucosal surface that was self-cleaning and distensible. The free gastro-omental flap was successful in five of seven patients. Because of excessive flap secretions during the early postoperative period, all patients had tracheotomies to protect the lower airway from aspiration.

摘要

将胃大弯及其附着的网膜的一部分进行移植,用于在上消化道癌切除术后重建咽和口腔。移植材料的组织特征与切除的口咽组织相似。胃网膜游离皮瓣形成了一个自清洁且可扩张的湿润黏膜表面。7例患者中有5例胃网膜游离皮瓣手术成功。由于术后早期皮瓣分泌过多,所有患者均行气管切开术,以保护下呼吸道免受误吸。

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引用本文的文献

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Free Gastric Flap for Oral Reconstruction-a Feasibility Study in Oral Defects.游离胃瓣用于口腔重建——口腔缺损的可行性研究
Indian J Surg Oncol. 2021 Mar;12(1):172-176. doi: 10.1007/s13193-020-01276-3. Epub 2021 Jan 6.
2
Use of tubed gastro-omental free flap for hypopharynx and cervical esophagus reconstruction after total laryngo-pharyngectomy.带蒂胃网膜游离皮瓣在全喉咽切除术后下咽和颈段食管重建中的应用。
Eur Arch Otorhinolaryngol. 2005 May;262(5):362-7. doi: 10.1007/s00405-004-0828-7. Epub 2004 Sep 7.