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穿支皮瓣与机器人手术在头颈部重建中的应用

Perforator Flaps and Robotic Surgery for Head and Neck Reconstruction.

机构信息

Head and Neck Unit, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK.

Head and Neck Unit, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6JJ, UK.

出版信息

Oral Maxillofac Surg Clin North Am. 2024 Nov;36(4):557-566. doi: 10.1016/j.coms.2024.07.006. Epub 2024 Aug 13.

Abstract

Head and neck cancer (HNC) is the sixth most common cancer across the world. Despite a general reduction in tobacco consumption and therefore reduction in risk exposure there has been an increasing incidence of oropharyngeal squamous cell carcinoma. Progress made in the past decades in free tissue transfer reconstruction and robotic surgery have merged into transoral robotic reconstruction with free perforator flaps for head and neck. We reviewed and discussed indications and contraindications for this type of procedure, as well as potential limits refinements.

摘要

头颈部癌症(HNC)是全球第六大最常见的癌症。尽管全球范围内烟草消费普遍减少,因此风险暴露减少,但口咽鳞状细胞癌的发病率却在上升。过去几十年中,游离组织转移重建和机器人手术方面的进展已经融合到用于头颈部的经口机器人重建和游离穿支皮瓣中。我们回顾并讨论了这种手术类型的适应证和禁忌证,以及潜在的局限性和改进。

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