Yamamoto K, Yokota K, Higaki K
Head Neck Surg. 1985 Jul-Aug;7(6):461-4. doi: 10.1002/hed.2890070605.
The entire pharynx and cervical esophagus were reconstructed after total laryngectomy and pharyngoesophagectomy for advanced cancer in 14 patients with the use of a pedicled latissimus dorsi myocutaneous island flap. All flaps were transferred successfully in one stage. The reliability of the flap and postoperative state of food passage were studied. Repair was confirmed by roentgenographic examination 6 months after surgery. A slight narrowness was noted at the portion anastomosed with the esophagus, with dilatation of the reconstructed segment. All patients in our study have been able to resume normal oral feeding. The pedicled latissimus dorsi myocutaneous island flap is reliable and useful for the reconstruction of the pharynx and cervical esophagus.
对14例晚期癌症患者在全喉切除及咽食管切除术后，采用带蒂背阔肌肌皮岛状皮瓣重建整个咽和颈段食管。所有皮瓣均一期成功转移。研究了皮瓣的可靠性及术后食物通过情况。术后6个月经X线检查证实修复情况。在与食管吻合处有轻度狭窄，重建段有扩张。我们研究中的所有患者均已能够恢复正常经口进食。带蒂背阔肌肌皮岛状皮瓣对咽和颈段食管的重建可靠且有用。
