Schlenker J D, Robson M C, Parsons R W
Ann Plast Surg. 1981 May;6(5):362-73. doi: 10.1097/00000637-198105000-00004.
Our experience with 9 patients who have undergone reconstruction with free flap transfers following resection of squamous cell carcinoma in the head and neck area is presented. The dorsalis pedis flap was used in 3 patients, the iliofemoral (groin) flap in 4, and the latissimus dorsi myocutaneous flap in 2. Four patients had received preoperative irradiation. Despite minor partial flap necrosis in 3 patients and the development of oral cutaneous fistulas in 2, all the flaps were successful in providing the necessary coverage. Reoperation in 1 patient was necessary because of thrombosis of the venous anastomosis.
本文介绍了我们对9例头颈部鳞状细胞癌切除术后采用游离皮瓣移植进行重建的患者的经验。3例患者使用了足背皮瓣,4例使用了髂股(腹股沟)皮瓣,2例使用了背阔肌肌皮瓣。4例患者接受了术前放疗。尽管3例患者出现了轻微的部分皮瓣坏死,2例出现了口腔皮肤瘘,但所有皮瓣均成功提供了必要的覆盖。1例患者因静脉吻合口血栓形成而需要再次手术。