Mazzola R F, Sambataro G, Oldini C
Ann Plast Surg. 1979 Mar;2(3):219-28. doi: 10.1097/00000637-197903000-00008.
Our experience with 11 cases of cervical esophageal reconstruction following excision of the hypopharynx and conservative neck dissection is reported. For the reconstructive procedure, we utilized a full-thickness skin graft from the penis according to Kaplan and Markowicz in 2 cases and a deltopectoral flap according to Bakamjian in 9. Critical evaluation of the clinical follow-up has led us to prefer the second method. It seems, in fact, to be the solution of choice in this kind of surgery, for the deltopectoral flap offers a generous source of viable skin due to its good blood supply.
本文报告了我们对11例下咽切除及保守性颈部清扫术后行颈段食管重建的经验。在重建手术中,我们依据卡普兰和马科维茨的方法,对2例患者采用了阴茎全厚皮片移植,依据巴卡姆扬的方法,对9例患者采用了胸大肌皮瓣移植。对临床随访结果的严格评估使我们更倾向于第二种方法。事实上,胸大肌皮瓣似乎是这类手术的首选解决方案,因为其血供良好,可为成活皮肤提供丰富来源。