胸大肌肌筋膜瓣：在头颈部重建中的临床应用
The pectoralis major myofascial flap: clinical applications in head and neck reconstruction.
作者信息
Righi P D, Weisberger E C, Slakes S R, Wilson J L, Kesler K A, Yaw P B
机构信息
Department of Otolaryngology--Head and Neck Surgery, Indiana University Medical Center, Indianapolis, USA.
出版信息
Am J Otolaryngol. 1998 Mar-Apr;19(2):96-101. doi: 10.1016/s0196-0709(98)90102-8.
PURPOSE
The pectoralis major myofascial (PMMF) flap, a simple variant of the pectoralis major myocutaneous (PMMC) flap, has been underemphasized as a reconstructive method in head and neck surgery.
MATERIALS AND METHODS
In the present study, we review our experience using 18 PMMF flaps for a variety of reconstructive purposes in 15 head and neck cancer patients treated at a tertiary care hospital. Twelve of the study patients were undergoing surgical salvage of a recurrent cancer, and 10 had received previous radiation.
RESULTS
The overall rate of flap complications in our series was 22%, and the incidence of major flap complications requiring surgical revision was 11%.
CONCLUSION
In our experience, the use of the PMMF flap for a variety of reconstructive tasks in the head and neck has been associated with a high overall success rate with avoidance of some of the limitations of the PMMC flap.
目的
胸大肌肌筋膜（PMMF）皮瓣是胸大肌肌皮（PMMC）皮瓣的一种简单变体，在头颈外科作为一种重建方法一直未得到充分重视。
材料与方法
在本研究中，我们回顾了在一家三级护理医院对15例头颈癌患者使用18块PMMF皮瓣进行各种重建目的的经验。研究中的12例患者正在接受复发性癌症的手术挽救，10例曾接受过放疗。
结果
我们系列中的皮瓣并发症总发生率为22%，需要手术修复的主要皮瓣并发症发生率为11%。
结论
根据我们的经验，在头颈部位使用PMMF皮瓣进行各种重建任务具有较高的总体成功率，同时避免了PMMC皮瓣的一些局限性。
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