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采用肌皮瓣修复颈部放射性溃疡。

Reconstruction for cervical irradiation ulcers with myocutaneous flaps.

作者信息

Strawberry C W, Jacobs J S, McCraw J B

出版信息

Head Neck Surg. 1984 Mar-Apr;6(4):836-41. doi: 10.1002/hed.2890060406.

DOI:10.1002/hed.2890060406
PMID:6231270
Abstract

Radiation-induced skin changes are commonly seen in patients who have been treated for head and neck malignancies. Some of these skin changes can progress into chronic postradiation ulcers, which despite aggressive medical wound management will not resolve spontaneously. Skin grafts and local cutaneous flaps located within the radiation field are unreliable and rarely provide adequate stable coverage. In this article, the authors report a combined experience of 52 patients whose postradiation cervical ulcers were successfully and reliably treated with myocutaneous flaps.

摘要

放射性皮肤改变常见于接受过头颈部恶性肿瘤治疗的患者。其中一些皮肤改变可发展为慢性放射性溃疡,尽管进行了积极的医学伤口处理,这些溃疡仍不会自行愈合。位于放射野内的皮肤移植和局部皮瓣不可靠,很少能提供足够稳定的覆盖。在本文中,作者报告了52例患者的综合经验,这些患者的放射性颈部溃疡通过肌皮瓣成功且可靠地得到了治疗。

相似文献

1
Reconstruction for cervical irradiation ulcers with myocutaneous flaps.采用肌皮瓣修复颈部放射性溃疡。
Head Neck Surg. 1984 Mar-Apr;6(4):836-41. doi: 10.1002/hed.2890060406.
2
[Late radiation injuries of the skin of the head and their treatment].[头部皮肤的晚期放射性损伤及其治疗]
Med Radiol (Mosk). 1985 Jun;30(6):7-11.
3
A myocutaneous island flap in the treatment of a chronic radionecrotic ulcer of the abdominal wall.
Br J Plast Surg. 1980 Jan;33(1):138-9. doi: 10.1016/0007-1226(80)90072-7.
4
Gluteus maximus myocutaneous flap cover for sacral radiation ulcers.
Aust N Z J Surg. 1986 Jun;56(6):481-4. doi: 10.1111/j.1445-2197.1986.tb02359.x.
5
Free flap chest wall reconstruction for recurrent breast cancer and radiation ulcers.游离皮瓣胸壁重建术治疗复发性乳腺癌和放射性溃疡。
Ann Plast Surg. 1993 Apr;30(4):375-80. doi: 10.1097/00000637-199304000-00017.
6
[Treatment of post-irradiation ulcers with island myocutaneous and axial flaps].
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1991 Jun;7(2):87-8.
7
Cervical skin flaps in head and neck reconstruction.
Am J Otolaryngol. 1981 Feb;2(1):62-6. doi: 10.1016/s0196-0709(81)80012-9.
8
[Plastic surgery reconstruction following irradiation].
Langenbecks Arch Chir. 1988;Suppl 2:471-4.
9
[Radiation wound: experience of management with myocutaneous flap--a report of 5 cases].
Zhonghua Yi Xue Za Zhi (Taipei). 1987 Jun;39(6):425-8.
10
Free flaps versus myocutaneous flaps in reconstruction of the head and neck.
Otolaryngol Clin North Am. 1982 Feb;15(1):111-21.

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Combined serratus anterior and latissimus dorsi myocutaneous flap for obliteration of an irradiated pelvic exenteration defect and simultaneous site for colostomy revision.联合应用前锯肌和背阔肌肌皮瓣覆盖盆腔廓清术后放疗缺损并同期行肠造口改道。
World J Surg Oncol. 2014 Oct 22;12:319. doi: 10.1186/1477-7819-12-319.
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Surgical Reconstruction of Radiation Injuries.放射性损伤的外科重建
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