Skolnik E M, Yee K F, Keyes G R
Laryngoscope. 1976 Oct;86(10):1584-93. doi: 10.1288/00005537-197610000-00014.
The challenging restoration of form and function in radical surgery of the head and neck demands sound concepts and proper execution in reconstruction. Flaps are most frequently employed in reconstruction, following major surgery because of their rich blood supply and cosmetic superiority. Of the many types of flaps known, the midline forhead flap, temporoforehead flap, mastoid-occipital flap, tongue flap, and deltopectoral flap have enjoyed most popularity. The design and application of these flaps are discussed. Our techniques in reconstruction of the oral cavity, hypopharynx, esophagus, nose, Andy-Gump deformities (anterior jaw complex resection), pharyngo-orocutaneous fistulas, and radionecrosis of the mandible are presented.
头颈部根治性手术中具有挑战性的形态与功能重建需要重建方面合理的理念及正确的实施方法。由于皮瓣血供丰富且在美观方面具有优势，因此在大型手术后的重建中最常使用皮瓣。在已知的多种皮瓣类型中，正中前额皮瓣、颞额皮瓣、乳突枕部皮瓣、舌瓣和三角胸皮瓣最为常用。本文讨论了这些皮瓣的设计与应用。介绍了我们在口腔、下咽、食管、鼻、安迪 - 冈普畸形（前颌复合体切除）、咽口皮肤瘘及下颌骨放射性坏死重建方面的技术。
