The improvement of living quality for the patient with carcinoma of esophagus: Reconstruction for the defect of pharynx and cervical esophagus with inferior antebrachial skin flap on the basis of retaining the laryngeal function

Objective To investigate the effect of reconstruction for inferior pharyngeal and cervical esophagus defect with inferior antebrachial skin flaps on the living quality of patients after surgery. Method Perform radical operation of the tumor, but retain larynx and trachea. Free antebrchial skin flaps were used to reconstruct the defect of inferior pharynx and cervical esophagus. Roll the skin flap to form a skin tube, and then carry out anastomosis with floor of mouth and cervical esophagus. Result The laryngeal function was retained after surgery. And permanent orifice of trachea was unnecessary. The effect was satisfying. The vocalization wasn’t affected and food-intake through oral was normal in the 2 patients followed up. Conclusion It is a feasible way to reconstruct the inferior pharynx and cervical esophagus defect caused by radical operation of the tumor at pharynx and cervical esophagus. It can improve the living quality of patients effectively.

颈皮瓣在喉重建术中的应用

总结了１９８８年１１月～１９９４年４月，在喉癌切除术后，采用颈部皮瓣转移重建喉７８例的临床效果。术后３～６个月，全部患者作纤维喉镜及间接喉镜检查。发现植入的皮肤角化上皮变深，１例患者有毛发生长。经３个月～５年随访，均可用新喉进行发音、吞咽及呼吸。生存３年以上３２例，有２例复发死亡。术后６例发生喉瘘，２例喉瘢痕狭窄。讨论了术后并发症的发生原因及预防方法。认为。

颈阔肌肌筋膜瓣在喉部分切除喉腔重建中的应用

目的探讨颈阔肌肌筋膜瓣在喉癌部分切除术后喉重建修复术中的临床应用价值。方法观察30例声门型喉癌行垂直半喉切除术后应用颈阔肌肌筋膜瓣修复缺损的临床疗效。手术时沿浅层筋膜将颈阔肌连同其筋膜与皮下组织分开,根据缺损的大小,切制相应的带蒂颈阔肌肌筋膜瓣并转入术腔修补缺损。结果经2年以上的随访,29例术后5～7天拔除胃管,气管套管拔除率90%(27/30);发生咽瘘1例,喉瘢痕狭窄2例。结论颈阔肌肌筋膜瓣是喉重建的良好材料。