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游离股前外侧皮瓣在下咽及颈段食管肿瘤切除后组织缺损修复中的应用
引用本文:吴平安,王先成,董忠根,唐青来,黎景佳,杨新明. 游离股前外侧皮瓣在下咽及颈段食管肿瘤切除后组织缺损修复中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2009, 23(21): 961-963
作者姓名:吴平安  王先成  董忠根  唐青来  黎景佳  杨新明
作者单位:1. 中南大学湘雅二医院耳鼻咽喉头颈外科,长沙,410011
2. 中南大学湘雅二医院烧伤整形科
3. 中南大学湘雅二医院骨科
摘    要:目的:探讨游离股前外侧皮瓣修复下咽及颈段食管肿瘤切除后组织缺损的方法和疗效。方法:对2例以游离股前外侧皮瓣修复肿瘤切除术后下咽及颈段食管组织缺损患者的临床资料进行回顾性分析。结果:2例患者均进行了下咽及颈段食管切除和重建,无围手术期死亡及皮瓣坏死;无术后咽瘘及食管狭窄发生;术后患者吞咽功能满意,均能进普食,并有较好的食管发声;分别随诊16及41个月,均无瘤生存。结论:游离股前外侧皮瓣修复下咽及颈段食管肿瘤切除术后缺损,成功率高,并发症少,功能恢复理想,是下咽及颈段食管组织缺损修复的理想皮瓣之一。

关 键 词:下咽肿瘤  食管肿瘤  修复外科手术  股前外侧皮瓣

Reconstruction with the anterolateral thigh flap interposition for defect after tumor resection of hypopharyngeal and cervical esophageal cancer
WU Ping'an,WANG Xiancheng,DONG Zhonggen,TANG Qinglai,LI Jingjia,YANG Xinming. Reconstruction with the anterolateral thigh flap interposition for defect after tumor resection of hypopharyngeal and cervical esophageal cancer[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2009, 23(21): 961-963
Authors:WU Ping'an  WANG Xiancheng  DONG Zhonggen  TANG Qinglai  LI Jingjia  YANG Xinming
Affiliation:WU Ping'an1 WANG Xiancheng2 DONG Zhonggen3 TANG Qinglai1 LI Jingjia1 YANG Xinming1(1Department of Otolaryngology-Head and Neck Surgery,Xiangya Second Hospital,Central South University,Changsha,410011,China,2Department of Burns and Plastic Surgery,3Department of Orthopedic Surgery,Central South University)
Abstract:Objective:To evaluate the effectiveness of the anterolateral thigh flap in reconstruction for the tissue defects of hypopharyngeal and cervical esophageal tumor resection.Method:Retrospective review of two clinical cases who underwent pharyngoesophageal reconstruction with the anterolateral thigh flap after tumor ablation.Result:No flap failure, fistula and stricture occurred in two patients.Two patients tolerated a regular diet.An esophageal voice was progressively acquired with the help of speech therapy.With followup for 16 and 41 months two patients were alive without tumor evolution.Conclusion:The higher success rate,lower complication,quick recovery,made the anterolateral thigh flap interposition is the ideal choice for pharyngoesophageal reconstruction.
Keywords:hypopharyngeal neoplasms  esophageal neoplasms  reconstructive surgical procedures  the anterolateral thigh flap
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