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Clinical Analysis of Pectoralis Major Myocutaneous Flap for Reconstruction of Tissue Defects after Pharyngolaryngeal Cancer Surgery

Clinical Analysis of Pectoralis Major Myocutaneous Flap for Reconstruction of Tissue Defects after Pharyngolaryngeal Cancer Surgery
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摘要 <strong>Objective:</strong> To explore the methods and effects of pectoralis major myocutaneous flap in pharyngolaryngeal cancer surgery. <strong>Methods:</strong> Among 23 cases of pharyngolaryngeal cancer patients, the surgical procedure was based on pathologic conditions, and the surgical defects were repaired by pectoralis major myocutaneous flap. <strong>Results:</strong> Among 23 patients, there were 1 case of skin flap necrosis, 4 cases of pharyngeal fistula, 1 case of hypopharyngeal esophageal stenosis;except 1 case of pharyngeal fistula died of carotid artery rupture caused by infection, 1 case of hypopharyngeal esophageal stenosis required a gastric tube, and the rest patient’s swallowing function is normal. <strong>Conclusion:</strong> The blood supply of pectoralis major myocutaneous flap is reliable with the tissue volume enough for reconstruction. It turns out to improve patient survival and postoperative quality of life with the application of pharyngolaryngeal cancer surgery. <strong>Objective:</strong> To explore the methods and effects of pectoralis major myocutaneous flap in pharyngolaryngeal cancer surgery. <strong>Methods:</strong> Among 23 cases of pharyngolaryngeal cancer patients, the surgical procedure was based on pathologic conditions, and the surgical defects were repaired by pectoralis major myocutaneous flap. <strong>Results:</strong> Among 23 patients, there were 1 case of skin flap necrosis, 4 cases of pharyngeal fistula, 1 case of hypopharyngeal esophageal stenosis;except 1 case of pharyngeal fistula died of carotid artery rupture caused by infection, 1 case of hypopharyngeal esophageal stenosis required a gastric tube, and the rest patient’s swallowing function is normal. <strong>Conclusion:</strong> The blood supply of pectoralis major myocutaneous flap is reliable with the tissue volume enough for reconstruction. It turns out to improve patient survival and postoperative quality of life with the application of pharyngolaryngeal cancer surgery.
作者 Fengjuan Zhu Hua Wang Jianyun Zhao Yan Wang Panpan Cui Jiansheng Li Fengjuan Zhu;Hua Wang;Jianyun Zhao;Yan Wang;Panpan Cui;Jiansheng Li(Department of Otolaryngology, People’s Hospital of Rizhao, Rizhao, China)
出处 《Surgical Science》 2021年第4期135-142,共8页 外科学(英文)
关键词 Pectoralis Muscles Surgical Flaps Pharyngolaryngeal Neoplasms RECONSTRUCTION Curative Effect Pectoralis Muscles Surgical Flaps Pharyngolaryngeal Neoplasms Reconstruction Curative Effect
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