Berger A, Tizian C, Hausamen J, Schulz-Coulon H, Löhlein D
J Reconstr Microsurg. 1984 Oct;1(2):83-94. doi: 10.1055/s-2007-1007059.
A free jejunal graft was used either as a patch or as a conduit in 40 cases of reconstruction of the oral cavity, hypopharynx, and upper esophagus. Compared with previous intraoral reconstructive techniques using skin or myocutaneous flaps, one-stage free jejunal grafts result in low morbidity, rapid postoperative recovery, and no additional head and neck scars. Because of secure vascularization, the retention of temporary mandible implants is made safer. In addition to tongue reconstruction, facial contouring can also be achieved by the use of mesenteric fatty tissue. The well-vascularized physiologic lining created by utilizing the jejunal graft is highly resistant to mechanical stress and postoperative radiation therapy.
在40例口腔、下咽和上段食管重建手术中，游离空肠移植物被用作补片或管道。与以往使用皮肤或肌皮瓣的口腔内重建技术相比，一期游离空肠移植物导致的发病率低、术后恢复快，且不会增加头颈部瘢痕。由于血运良好，临时下颌骨植入物的保留更安全。除了舌重建外，利用肠系膜脂肪组织还可实现面部轮廓塑形。利用空肠移植物形成的血运丰富的生理性衬里对机械应力和术后放射治疗具有高度抗性。
