| 应用颈阔肌肌皮瓣修复下咽腔瘢痕狭窄 |
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| 引用本文： | 阮炎艳,陈文弦,崔鹏程,高鹏飞.应用颈阔肌肌皮瓣修复下咽腔瘢痕狭窄[J].临床耳鼻咽喉头颈外科杂志,2006,20(15):694-695. |
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| 作者姓名： | 阮炎艳 陈文弦 崔鹏程 高鹏飞 |
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| 作者单位： | 第四军医大学唐都医院耳鼻咽喉科,西安,710038 |
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| 摘 要： | 目的：探讨带蒂颈阔肌肌皮瓣转移术修复下咽腔狭窄术。方法：对本组10例下咽腔瘢痕狭窄患者应用带蒂颈阔肌肌皮瓣转移行下咽腔重建术。结果：本组术后9例顺利拔除气管套管，恢复正常的呼吸、发声和吞咽功能，随访1-3年手术效果巩固。结论：带蒂颈阔肌肌皮瓣转移修复下咽腔瘢痕狭窄术，操作简单易行，并发症少，具有较高的成功率和较好的远期疗效，此肌瓣是理想的下咽腔重建材料，值得临床推广应用。
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| 关 键 词： | 下咽狭窄 修复外科学 外科皮瓣 |
| 文章编号： | 1001-1781（2006）15-0694-02 |
| 收稿时间： | 2005-07-21 |
| 修稿时间： | 2005年7月21日 |
The treatment for hypopharynx stenosis using platysma pedicle flap |
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| RUAN Yanyan,CHEN Wenxian,CUI Pengcheng,GAO Pengfei.The treatment for hypopharynx stenosis using platysma pedicle flap[J].Journal of Clinical Otorhinolaryngology,2006,20(15):694-695. |
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| Authors: | RUAN Yanyan CHEN Wenxian CUI Pengcheng GAO Pengfei |
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| Institution: | Department of Otolaryngology, Tangdu Hospital, Fourth Military Medical University, Xi'an, 710038, China. |
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| Abstract: | Objective:To evaluate the possibility and reliability 0f platysma pedicle flap transfer in the correction of hypopharynx stenosis,and delineate the operation skills and clinical results.Method:Ten patients with hypopharynx stenosis underwent hypopharynx reconstruction using platysma pedicle flap.Result:Nine of these patients had been decannulated successfully with good airway patency,good pronunciation and a good swallow.Conclusion:Platysma pedicle flap transfer was a single stage reconstruction, relatively simple procedure and less complication that can restore an adequate airway and a good swallow. The results indicate that the platysma pedicle flap is an ideal transplant for hypopharynx reconstruction.This method is simple, safe and reliable. |
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| Keywords: | Hypopharynx stenosis Reconstructive surgical procedures Surgical flaps |
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