頁籤選單縮合
題 名 | Experience of Reconstruction after Resection of Midface Cancer with Anterior Cranial Base Involvement=中臉部併前顱底侵犯腫瘤切除後重建之經驗 |
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作 者 | 洪學義; 黃國峰; 黃仁炫; 劉致和; 孫宗伯; 陳明庭; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 6:1 1997.03[民86.03] |
頁 次 | 頁11-17 |
分類號 | 416.41 |
關鍵詞 | 中臉部併前顱底侵犯腫瘤; Midface cancer; Anterior cranial (skull) base; Craniofacial resection; |
語 文 | 英文(English) |
中文摘要 | 中臉部併前顱底侵犯腫瘤切除後會留下複雜之骨骼和軟組織的缺損。重建這類缺損必須將顱內和呼吸道分開以及提供大腦的支撐。自1996年2月至10月間,4位病患接受此類腫瘤切除及顯微自由皮瓣的重建。2個擴背肌皮瓣及2個腹直肌皮瓣被用來做軟組織的覆蓋。接受鼻腔切除的患者,我們以鼻咽呼吸管當做鼻腔之支架以維持呼吸通暢。沒有發生手術之死亡或主要併發症。我們相信以顯微自由皮瓣來重建中臉部併前顱底侵犯腫瘤切除後之缺損是安全的,有可以接受的外觀,同時可以維持術後呼吸道通暢。 |
英文摘要 | Resection of malignancies of the midface with anterior cranial base involvement may result in complex bone and soft tissue deficiencies. Reconstruction of such defects should seal off the cranial cavity from the upper respiratory tract and provide structural support. From February to October in 1996, four patients underwent resection of midface cancer with anterior cranial base involvement and received primary microascular free flap reconstruction. Two latissimus dorsi flaps and two rectus abdominis flaps were used for soft tissue coverage. Nasopharyngeal airway tubes were inserted as a stent in those who underwent lateral rhinotomy to keep airway open. Neither peri-operative mortality nor major complications occurred. We believed that free flap reconstruction to fill up midface and anterior cranial base is safe, cosmetically acceptable,and also good to maintain airway patency. |
本系統中英文摘要資訊取自各篇刊載內容。