Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deform...Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deformity and induces mental suffering In order to restore the contour and func-tions of the tongue 21 cases of tongue defects were repaired and reconstructed with forearm radialor ulnar cutaneous or myocutaneous flaps All the transplanted flaps survived and the restored con-tour and functions were satisfactory. The surgical procedure of tongue reconstruction was intro-duced and how to have a satisfactory recovery of the tongue functions and raise the rate of successof the operation were discussed.展开更多
Diepithelialized tissue flap(DTF)with vascular anastomosis was de-signed in August 1987,and was used for the repair of 12 cases of large intraoraltissue defect.All the operations were successful.The clinical data were...Diepithelialized tissue flap(DTF)with vascular anastomosis was de-signed in August 1987,and was used for the repair of 12 cases of large intraoraltissue defect.All the operations were successful.The clinical data were reportedand the procedure to incise and transplant a DTF described.When the healingprocess and changes of DTF after transplantation were observed,it was foundthat a layer of new smooth epidermis was formed on the surface of the DTF.Theorigin of this new epidermis was discussed.Ten out of the 12 cases have been fol-lowed up for from half a year to 2 and a half years,and the results weresatisfactory.The new epidermis showed no hair growth and the patients did nothave any rough feeling,which usually occurred after ordinary skin grafting.It isbelieved that DTF transplantation is likely an ideal method for the repair andreconstruction of intraoral soft tissue defect.Its disadvantage was that the DTFcontracted severely after healing.Finally the authors put forward the problemsconcerning the transplantation of DTF,which should be investigated further.展开更多
Microvascular free flap surgery has become a successful and reliable method of reconstruction following head and neck cancer resection. The effectiveness of free flap reconstruction has increased with improved surgica...Microvascular free flap surgery has become a successful and reliable method of reconstruction following head and neck cancer resection. The effectiveness of free flap reconstruction has increased with improved surgical technique as well as technological refinement in vessel selection and flap monitoring. Few papers have studied the factors that influence success or failure rates of free flap reconstructions, particularly with an eye towards the technologic advancements that have refined the procedure in the last several decades. Here we present a comprehensive review of perioperative and intraoperative considerations that influence free flap outcomes as well methods of vessel selection and flap monitoring important during microvascular reconstruction of the head and neck.展开更多
目的 报告一端带蒂另一端吻合血管的联合皮瓣修复软组织缺损的临床结果。方法 1990 年10 月1995 年8 月应用联合皮瓣技术修复5 例肢体软组织缺损和1 例骶部褥疮,缺损范围为15 cm ×30 cm 16 cm ×70 cm 。其中5 例应用肌皮瓣...目的 报告一端带蒂另一端吻合血管的联合皮瓣修复软组织缺损的临床结果。方法 1990 年10 月1995 年8 月应用联合皮瓣技术修复5 例肢体软组织缺损和1 例骶部褥疮,缺损范围为15 cm ×30 cm 16 cm ×70 cm 。其中5 例应用肌皮瓣,1 例应用皮瓣。切取的联合皮瓣最小15 cm ×40 cm ,最大12 cm ×80 cm 。结果 联合皮瓣均成活,取得了满意的效果,仅1 例发生浅表感染,使用抗生素后治愈。随访36 年,皮瓣颜色、质地及厚薄均较好,肢体功能恢复满意。供区愈合良好。无明显并发症发生。结论 一端带蒂另一端吻合血管的联合皮瓣移植。展开更多
文摘Surgical treatment of tongue tumors usually results in a tongue defect half or more thanhalf of its original size which not only interferes with speech, swallow and mastication functions butalso creates contour deformity and induces mental suffering In order to restore the contour and func-tions of the tongue 21 cases of tongue defects were repaired and reconstructed with forearm radialor ulnar cutaneous or myocutaneous flaps All the transplanted flaps survived and the restored con-tour and functions were satisfactory. The surgical procedure of tongue reconstruction was intro-duced and how to have a satisfactory recovery of the tongue functions and raise the rate of successof the operation were discussed.
文摘Diepithelialized tissue flap(DTF)with vascular anastomosis was de-signed in August 1987,and was used for the repair of 12 cases of large intraoraltissue defect.All the operations were successful.The clinical data were reportedand the procedure to incise and transplant a DTF described.When the healingprocess and changes of DTF after transplantation were observed,it was foundthat a layer of new smooth epidermis was formed on the surface of the DTF.Theorigin of this new epidermis was discussed.Ten out of the 12 cases have been fol-lowed up for from half a year to 2 and a half years,and the results weresatisfactory.The new epidermis showed no hair growth and the patients did nothave any rough feeling,which usually occurred after ordinary skin grafting.It isbelieved that DTF transplantation is likely an ideal method for the repair andreconstruction of intraoral soft tissue defect.Its disadvantage was that the DTFcontracted severely after healing.Finally the authors put forward the problemsconcerning the transplantation of DTF,which should be investigated further.
文摘Microvascular free flap surgery has become a successful and reliable method of reconstruction following head and neck cancer resection. The effectiveness of free flap reconstruction has increased with improved surgical technique as well as technological refinement in vessel selection and flap monitoring. Few papers have studied the factors that influence success or failure rates of free flap reconstructions, particularly with an eye towards the technologic advancements that have refined the procedure in the last several decades. Here we present a comprehensive review of perioperative and intraoperative considerations that influence free flap outcomes as well methods of vessel selection and flap monitoring important during microvascular reconstruction of the head and neck.
文摘目的 报告一端带蒂另一端吻合血管的联合皮瓣修复软组织缺损的临床结果。方法 1990 年10 月1995 年8 月应用联合皮瓣技术修复5 例肢体软组织缺损和1 例骶部褥疮,缺损范围为15 cm ×30 cm 16 cm ×70 cm 。其中5 例应用肌皮瓣,1 例应用皮瓣。切取的联合皮瓣最小15 cm ×40 cm ,最大12 cm ×80 cm 。结果 联合皮瓣均成活,取得了满意的效果,仅1 例发生浅表感染,使用抗生素后治愈。随访36 年,皮瓣颜色、质地及厚薄均较好,肢体功能恢复满意。供区愈合良好。无明显并发症发生。结论 一端带蒂另一端吻合血管的联合皮瓣移植。
