Papadopoulos O N, Gamatsi I E
Second Propedeutic Surgical Department of Athens University, School of Medicine, Greece.
Microsurgery. 1994;15(7):492-5. doi: 10.1002/micr.1920150711.
Reconstructive surgery of the head and neck has particularly benefited from the rapid developments in microsurgery. Resection of tumours from the head and neck which are associated with serious physical and psychological problems, or which often require multiple reconstructive procedures, can now be performed as a single-stage procedure with good oncological and functional results. The present series reports on the treatment of 12 primary or recurrent malignant tumours of the head and neck using the latissimus dorsi musculocutaneous free flap. Complications consisted of two venous thromboses which required revision of the anastomoses. The oncological and functional results were good, while the aesthetic outcome was fair. We conclude that the latissimus dorsi muscle or musculocutaneous free flap is the method of choice to repair wide defects of the head and neck following the resection of malignant tumours.
头颈部重建手术尤其受益于显微外科的快速发展。对头颈部肿瘤进行切除，这些肿瘤往往会带来严重的身体和心理问题，或者常常需要多次重建手术，现在可以作为一个单阶段手术来进行，并且能取得良好的肿瘤学和功能效果。本系列报告了使用背阔肌肌皮游离皮瓣治疗12例头颈部原发性或复发性恶性肿瘤的情况。并发症包括两例静脉血栓形成，需要对吻合口进行修复。肿瘤学和功能效果良好，而美学效果尚可。我们得出结论，背阔肌或背阔肌肌皮游离皮瓣是修复头颈部恶性肿瘤切除后广泛缺损的首选方法。
