锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损4例
Repaired four cases of hypopharyngeal combined neck skin defects using a folded supraclavicular flap
张伟强 1张旭 1王洪江 1周鹏 1仝悦 1李巍1
作者信息
- 1. 徐州医科大学附属医院耳鼻咽喉头颈外科(江苏徐州,221000)
- 折叠
摘要
目的:观察以锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损的临床效果.方法:利用锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损4例患者,评价修复效果.4例患者包括3例男性,1例女性.下咽瘘口大小为3.2 cm× 1.8 cm～4.5 cm×3.8 cm,颈部皮肤缺损为 3.8 cm×2.2 cm～5.1 cm×4.5 cm;所取皮瓣大小为 8 cm ×5 cm～13 cm×9 cm.结果:4例皮瓣全部成活,无严重并发症.术后随访6～19个月,患者吞咽功能恢复正常,无咽瘘复发和咽腔狭窄.患者对术后外形满意.结论:以锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损是有效和安全的方法.
Abstract
Objective:To evaluate the outcomes following the use of folded supraclavicular flap repaired hypopharyn-geal combined neck skin defects.Methods:Folded supraclavicular flap were designed to repaired four cases of hypopha-ryngeal combined neck skin defects patients.Evaluate their repair effect(3 men,l woman;mean age:66 years).Hypo-pharyngeal fistula from 3.2 cmX 1.8 cm to 4.5 cmX 3.8 cm,skin defects in the neck from 3.8 cmX 2.2 cm to 5.1 cm X4.5 cm.The folded supraclavicular flap from 8 cmX5 cm to 13 cmX9 cm.Results:All flaps survived,head and neck appearance was satisfactory,and no patient experienced a major complication.All patients resumed an oral diet function.No fistula recurrence or stricture developed after 6-19 months of follow-up.Conclusion:The folded supraclavicular flap is a safe and effective flap Repaired for hypopharyngeal combined neck skin defects.
关键词
咽瘘/锁骨上皮瓣/带蒂皮瓣/修复外科/头颈部肿瘤Key words
pharyngeal fistula/supraclavicular flap/pedicled flap/reconstructive surgery/head and neck ne-oplasms引用本文复制引用
出版年
2024
NETL
NSTL
万方数据