Lim D T, Soo K C
Department of Surgery, Singapore General Hospital.
Ann Acad Med Singap. 1995 May;24(3):370-2.
The surgical defect after radical resection in the head and neck region is extensive and often involves skin, oral mucosa and bone. Primary reconstruction allows for rapid restoration of function and rehabilitation of the patient. We report a series of 93 patients with oropharyngeal reconstruction after ablative surgery in the head and neck. For reconstruction, there were 41 pedicled myocutaneous flaps, 18 random flaps and 7 vascularised free flaps. There were 3 partial and 1 complete flap failures together with 5 persistent fistulas. The factors considered in the choice of reconstruction and our philosophy in this regard are discussed.
头颈部根治性切除术后的手术缺损范围广泛，常累及皮肤、口腔黏膜和骨骼。一期重建可使患者功能迅速恢复并实现康复。我们报告了一系列93例头颈部切除术后口咽重建的患者。用于重建的有41块带蒂肌皮瓣、18块随意皮瓣和7块血管化游离皮瓣。有3例部分皮瓣失败和1例完全皮瓣失败，还有5例持续性瘘管。本文讨论了重建选择中考虑的因素以及我们在这方面的理念。
