Mogi G, Fujiyoshi T, Kurono Y, Kawauchi H, Yoshimura H
Auris Nasus Larynx. 1985;12 Suppl 2:S24-9. doi: 10.1016/s0385-8146(85)80023-7.
Various pedicle flaps were used for the reconstruction of large defects following extirpation of head and neck malignant tumors of 55 patients. Although there are several complications, myocutaneous (MC) island flap surpassed the deltopectoral (DP) flap in the reconstruction of the pharyngo-esophagus, tongue, oral cavity, mandible, and of a massive defect. However, DP flap is still valuable material because of its steadiness in pharyngo-esophageal reconstruction in patients who have background disorders, such as serious heart disease and diabetes. Forehead or DP flap is valuable in the reconstructive surgery of full-thickness defect of the cheek. Reconstruction of extremely large defect of the head and neck could be accomplished by use of latissimus dorsi flap and/or combination with DP flap. Selection of the flap should be made in accordance with the region of the reconstruction, size of region, sex, and individual considerations.
采用多种带蒂皮瓣对55例头颈部恶性肿瘤切除术后的大面积缺损进行修复。尽管存在一些并发症，但肌皮（MC）岛状皮瓣在咽食管、舌、口腔、下颌骨及大面积缺损的修复方面优于胸大肌三角肌（DP）皮瓣。然而，DP皮瓣因其在伴有严重心脏病和糖尿病等基础疾病患者的咽食管重建中具有稳定性，仍是一种有价值的材料。额部皮瓣或DP皮瓣在颊部全层缺损的修复手术中具有重要价值。背阔肌皮瓣和/或联合DP皮瓣可用于修复头颈部极大面积的缺损。皮瓣的选择应根据修复部位、区域大小、性别及个体情况来决定。
