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題 名 | 以肌肉瓣應用於頭頸部手術之咽部缺損重建=Muscular Flap for the Reconstruction of Pharyngeal Defect in Head and Neck Surgery |
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作 者 | 朱本元; 張學逸; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:2 1998.04[民87.04] |
頁 次 | 頁34-40 |
分類號 | 416.21 |
關鍵詞 | 肌肉瓣; 頭頸部重建; Muscular flap; Head and neck reconstruction; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:頭頸部癌是國人常見的癌症之一,由於腫瘤生長的位置常處於咽部或靠近 咽部的組織,所以在進行做徹底手術切除時,往往會造成較大的咽部缺損,導致機能的障礙 及頸動脈的暴露,而需要同時施行重建手術。基本上,咽部缺損的重建需考慮到所取用組織 瓣的方便性、可靠性及機能的恢復等因素。 方法:自1984年至1996年,共44例頭頸部癌症病患經徹底手術切除後,以肌肉瓣做 咽部缺損之重建,其中27例以嚼肌肌肉瓣(masseter muscular flap)重建,15例以胸大肌肌 肉瓣(pectoralis major muscular flap)重建,2例以胸鎖乳空肌肌肉瓣(sternocleidomastoid muscular flap)重建。 結果:以肌肉瓣做為咽部缺損之重建,因沒有附帶表皮而不需特殊設計形狀,取用時較 為方便;同時因不含皮下脂肪,所以大小適中、可摺疊配合各種缺損,縫合時也較為容易。 手術後併發症並不常發生,僅1例因肌肉瓣部份壞死而產生咽皮癭管,3例產生傷口感染; 術後的機能恢復亦相當理想。 結論:以肌肉瓣做為頭頸部癌症手術後咽部缺損之重建,是一種簡單、方便、可靠的方 法,不僅縫合容易而且可以減少併發症的產生,同時又有相當理想的機能恢復。(中耳醫誌 1998; 33:132-138。) |
英文摘要 | Background: Head and neck cancer is one of the most common cancers in Taiwan. Radical surgery and radiotherapy are still the most widely used methods of treatment. The tumor is located at or near-by the pharyngeal area, therefore, surgery will result in a large pharyngeal defect and cause functional deterioration and carotid artery exposure. Thus, reconstruction of the pharyngeal defect plays an important role in achieving good functional results. Basically, convenience, reliability and functional recovery are the most important factors to be considered in choosing a reconstructive method. Methods: Between 1984 and 1996, there were 44 cases of head and neck cancer that underwent radical surgery and had the pharyngeal defect reconstructed with a muscular flap. Three different muscular flaps were used including the masseter muscular flap 27 cases, the pectoralis major muscular flap 15 cases, and the sternocleidomastoid muscular flap 2 cases. Results: Muscular flap reconstruction is a convenient method. It is not necessary to design the flap, because there is no skin over the flap. There is no excessive subcutaneous tissue at the flap, therefore, it has adequate size and is more pliable, and wound closure is easier. Complications are rare. Only 1 case of pharyngocutaneous fistula occurred due to partial necrosis of the flap, and 3 cases of wound infection were encountered. Postoperative swallowing function was satisfactory. Conclusions: The muscular flap is a simple, convenient, and reliable method for reconstruction in the major head and neck surgeries. The wound closure is easy, and the complications are rare. In addition, the functional recovery is satisfactory. |
本系統中英文摘要資訊取自各篇刊載內容。