Deschler D G, Hayden R E
Department of Otolaryngology-Head and Neck Surgery, Medical College of Pennsylvania, Philadelphia, USA.
Neuroimaging Clin N Am. 1996 May;6(2):505-14.
Reconstructive procedures of the head and neck aim to repair soft tissue and bony defects while restoring optimal function and cosmesis. Defects necessitating reconstruction may be the result of congenital anomalies, destructive disease processes, trauma, or surgery. Because primary wound closure is often impossible in these settings and healing by secondary intention provides unacceptable appearance and function, tissues from elsewhere in the body are usually mobilized to achieve the reconstructive goals. Reconstructions using tissue grafts and flaps have unique characteristics on postoperative imaging that differ from the original tissues being replaced, as well as the appearance of the donor size prior to transposition. As these reconstructive techniques become more sophisticated, it is crucial that physicians have an appreciation for current reconstructive methods.
头颈部重建手术旨在修复软组织和骨缺损，同时恢复最佳功能和美观。需要进行重建的缺损可能是先天性畸形、破坏性疾病过程、创伤或手术的结果。由于在这些情况下通常无法进行一期伤口缝合，而二期愈合会导致外观和功能难以接受，因此通常会调动身体其他部位的组织来实现重建目标。使用组织移植和皮瓣进行的重建在术后成像上具有独特的特征，这些特征不同于被替换的原始组织，也不同于转移前供区的外观。随着这些重建技术变得越来越复杂，医生了解当前的重建方法至关重要。
