Matiakin E G, Uvarov A A, Kornev E Ia
Vestn Khir Im I I Grek. 1993 Mar-Apr;150(3-4):62-4.
An experience with using the method of primary plasty of 54 patients with carcinoma of frontal portions of the oral cavity with muscular-cutaneous flaps is described. Preoperative irradiation (from 30 to 80 Gr) was given to 51 patients. Radical operations on the neck were performed on all the patients (in 15 patients the operations were bilateral). Necroses of the flaps were noted in 27.8% of the patients, mainly after doses of X-ray therapy of 50-80 Gr, suppuration of the wound in 64.8%. Good cosmetic and functional results were obtained in 44 patients (81.3%). The average time of staying at the hospital was 33.7 days.
描述了对54例口腔前部癌患者采用肌皮瓣进行一期整形手术的经验。51例患者术前接受了30至80戈瑞的放疗。所有患者均进行了颈部根治性手术(15例患者为双侧手术)。27.8%的患者出现皮瓣坏死,主要发生在接受50 - 80戈瑞X线治疗剂量后,伤口化脓的发生率为64.8%。44例患者(81.3%)获得了良好的美容和功能效果。平均住院时间为33.7天。