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頁籤選單縮合
題名 | Simultaneous Two Free Flaps for Head and Neck Reconstruction=雙重自由皮瓣用於頭頸部重建 |
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作者 | 黃介琦; 林中乙; 戴浩志; 洪學義; 陳明庭; 簡守信; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷期 | 9:1 2000.03[民89.03] |
頁次 | 頁30-41 |
分類號 | 416.413 |
關鍵詞 | 雙重自由皮瓣; 頭頸部重建; 前外側股皮瓣; 腓骨皮瓣; Anterolateral thigh flap; Fibular flap; Double flap; Head and neck reconstruction; |
語文 | 英文(English) |
中文摘要 | 使用自由皮瓣用於頭頸部重建,以改善患者的功能和美觀,當巨大複合性缺損,或二側性缺損,無法以單一皮瓣來覆蓋,雙重自由皮瓣即可達成重建目的。在1999,五位頭頸部腫瘤患者使用雙重自由皮瓣,有四位是原發性頰癌,一位是復發性舌癌。複合前外側股皮瓣併腓骨皮瓣,用以重建頰癌術後巨大穿透性口顎部缺損,或者復發性舌癌術後,口咽顎部缺損。其中一位使用雙側前外側股皮瓣重建雙側頰癌。皮瓣成功率90%。其中重建雙側頰癌的一個前外側股皮瓣,因靜脈栓塞而失敗,以自由橈側前臂皮瓣來取代,術後完全恢復而無後遺症。輕微合併症包括了,一位傷口感染與一位供皮瓣區植皮缺失,在清創與植皮後,傷口完全癒合。前外側股皮瓣併腓骨皮瓣,在重建巨大顏面與口顎部缺損,佔有重要角色。 |
英文摘要 | The use of the free tissue transfers Improves the functional and cosmetic results of the head and neck reconstruction. Because a large composite defect or bilateral defects can not be reconstructed with a single free flap in one-staged operation, simultaneous double free flaps are used to achieve the reconstructive goals. Iii 1999, five patients of head and neck defects were reconstructed immediately with two free flaps. Four patients of primary buccal cancer and one recurrent tongue cancer were all squamous cell carcinoma The combined free anterolateral thigh flap and free fibular osteocutaneous flap were used for the large through-and- through oromandibular defects after the buccal cancei resection as well as for the oropharyngeal-mandibular defect after the ablation of the recurrent tongue cancer One patient of synchronous bilateral buccal cancers underwent the reconstruction with bilateral free anterolateral thigh flaps. Nine of the 10 flaps survived. One anterolateral thigh flap in the patient of bilateral buccal cancers suffered from venous thrombosis, which had been explored but failed. The radial forearm flap was salvaged and survived well later, Minor complications including one wound infection and one skin graft loss of donor site were noted and healed after debridement and skin graft. The combined anterolateral thigh flap and fibular flap have played an important role in the reconstruction of the oromandibular composite defects. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。