摘要
目的 探索锁骨上带蒂皮瓣修复头颈肿瘤多次手术加放/化疗后缺损的应用效果。方法 回顾分析3例头颈部肿瘤经过多次放/化疗术后缺损的患者,应用锁骨上带蒂皮瓣进行修复,并定期进行随访。结果 3例患者术后随访皮瓣成活良好,均无感染、坏死等并发症出现。其中1例因缺损较大,未能完全修复,剩余部分缺损3个月后瘢痕化愈合;另外2例恢复良好。结论 锁骨上带蒂皮瓣血运丰富,弹性好,可用于修复头颈部肿瘤多次放/化疗术后等疑难复杂缺损,改善患者外观,提高患者生存质量。
Objective To explore the application effect of supraclavicular pedicled skin flap in repairing the defect of head and neck tumor after multiple treatments of surgery or radiotherapy or chemotherapy. Methods Three patients with defect of head and neck tumor after multiple treatments of surgery or radiotherapy or chemotherapy were retrospectively analyzed, who were repaired with pedicled supraclavicular flap. Results The flap was survived well in all 3 patients during postoperative follow-up, without infection, necrosis and other complications. One of the 3 patients failed to completely repair the defect due to the larger defect, and the remaining defect was cicatrically healed 3 months later. The other 2 cases of the patients recovered well. Conclusions The supraclavicular pedicled skin flap has rich blood supply and good elasticity, which can be used to repair complicated defects of head and neck tumors after multiple treatment of surgery or chemotherapy or radiotherapy. The application of the repairing can improve the appearance of patients for high quality of life.
作者
宁玉东
李超
蔡永聪
王薇
曾定芬
周雨秋
NING Yudong;LI Chao;CAI Yongcong;WANG Wei;ZENG Dingfen;ZHOU Yuqiu(Department of Head and Neck surgery,Sichuan Cancer Institute,Sichuan Cancer Prevention Center,Cancer Hospital affiliate to School of Medicine,University of Electronic Science and Technology of China,Chengdu 610041,China)
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2022年第3期95-98,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
基金
成都市重大科技应用示范项目(2019-YF09-00095-SN)。
关键词
头颈肿瘤
锁骨上皮瓣
修复
放/化疗
缺损
复发
Head and neck tumor
Supraclavicular flap
Repair
Radiation and chemotherapy
Defect
Recurrence