胸锁乳突肌肌骨膜瓣修复颈段气管缺损

Reconstruction of the defect of cervical trachea with the sternocleidomastoid myoperiosteal flap

目的：探讨利用胸锁乳突肌肌骨膜瓣修复颈段气管缺损的方法。方法：对13例恶性肿瘤侵犯颈段气管及原发性气管肿瘤患者，切除肿瘤及受累气管壁后利用胸锁乳突肌肌骨膜瓣修复气管壁缺损。结果：13例患者中，气管切开患者为10例，9例分别于术后1～5个月拔除气管套管，1例因声门区狭窄，戴管呼吸，3例未行气管切开患者术后呼吸通畅。结论：带蒂胸锁乳突肌肌骨膜瓣是较好的气管修复材料。

Objective：To study application of sternocleidomastoid myoperiosteal flap to reconstruction of the defect of cervical trachea. Method.. Thirteen hospitalized patients with malignant neoplasm invading cervical trachea and primary tracheal carcinoma were analyzed retrospectively, the sternocleidomastoid myoperiosteal flap was applied to repair the defect of tracheal wall after resection of the neoplasm. Result： Among 10 tracheotomy patients, 9 cases were decannuated from lmonth to 5 months. One case needs cannulation because of tracheal stenosis. Three patients with no tracheotomy had no dyspnea after operation.. Conclusion： The sternocleidomastoid myoperiosteal flap is an ideal transplant for cervical tracheal reconstruction.