Anthony J P, Singer M I, Mathes S J
Department of Surgery, University of California at San Francisco.
Clin Plast Surg. 1994 Jan;21(1):137-47.
Patients undergoing laryngopharyngectomy require the restoration of both deglutition and voice. We believe the tubed radial free flap offers the combined advantages of a rapid harvest with minimal morbidity, a long flap pedicle, extraordinary reliability, and the possibility of customization to fit virtually any size of defect. This flap does have a somewhat higher leakage rate; however, such leaks are relatively minor and nearly all will resolve with a brief period of conservative treatment. Postoperatively, this flap tolerates radiation therapy very well. Most importantly, it maximizes the functional rehabilitation of the patient by providing the best speech and swallowing results available. For these reasons we consider the tubed radial forearm free flap to be the flap of choice for circumferential pharyngoesophageal reconstruction.
接受喉咽切除术的患者需要恢复吞咽和发声功能。我们认为带蒂桡侧游离皮瓣具有以下综合优势：切取迅速，并发症最少，皮瓣蒂长，可靠性高，并且可以根据几乎任何大小的缺损进行定制。这种皮瓣确实有稍高的漏液率；然而，此类漏液相对较小，几乎所有漏液经过短时间的保守治疗都能解决。术后，这种皮瓣对放射治疗耐受性良好。最重要的是，它通过提供最佳的言语和吞咽效果，最大限度地实现了患者的功能康复。基于这些原因，我们认为带蒂桡侧前臂游离皮瓣是环周性咽食管重建的首选皮瓣。
