Harii K, Ebihara S, Ono I, Saito H, Terui S, Takato T
Plast Reconstr Surg. 1985 Apr;75(4):463-76. doi: 10.1097/00006534-198504000-00001.
A new microsurgical alternative in reconstruction of the pharynx and cervical esophagus is reported. A trapezoidal forearm flap is fabricated into an inverted skin tube and placed in the pharyngoesophageal defect. Although microvascular anastomoses are required to revascularize the transferred forearm flap, the long and large nutrient vessels of the flap make anastomoses easy and reliable. None of our 12 patients demonstrated any necrosis of the transferred flap. This one-stage, less invasive operation for pharyngoesophageal reconstruction greatly benefits older persons, who are the more likely to be involved with pharyngoesophageal carcinomas.
本文报道了一种用于咽和颈段食管重建的新型显微外科替代方法。将梯形前臂皮瓣制成倒置皮管，并置于咽食管缺损处。尽管需要进行微血管吻合以使移植的前臂皮瓣重新血管化，但该皮瓣长而粗大的营养血管使吻合操作简便且可靠。我们的12例患者均未出现移植皮瓣坏死的情况。这种用于咽食管重建的一期、侵入性较小的手术对老年人非常有益，因为他们更易患咽食管癌。
