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相關文獻
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題名 | Reversed-Flow Superior Thyroid Artery: An Alternative Recipient Vessel in Head and Neck Reconstruction=逆流性上甲狀腺動脈:頭頸部腫瘤切除術後重建接受區供血動脈的另一選擇 |
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作者 | 黃書鴻; 吳昇樺; 王文禾; 沈茂昌; 賴春生; 林幸道; 張高評; Huang, Shu-hung; Wu, Sheng-hua; Wang, Wen-her; Cheen, Mau-chang; Lai, Cheng-sheng; Lin, Sin-daw; Chang, Kao-ping; |
期刊 | The Kaohsiung Journal of Medical Sciences |
出版日期 | 20081100 |
卷期 | 24:11 2008.11[民97.11] |
頁次 | 頁598-601 |
分類號 | 416.21 |
語文 | eng |
關鍵詞 | 前外側股皮瓣; 頭頸部腫瘤切除術後重建; 逆流性動脈; Anterolateral thigh flaps; Head and neck reconstruction; Reverse artery flow; |
中文摘要 | 利用前外側股皮瓣來修復頭頸部腫瘤切除後組織的缺損為目前重建手術的主流。但是在術前合併動脈內化學治療的患者,常因化學治療造成血管內皮受損,使得接受區供血動脈阻塞。當這些順流的供血動脈無法使用時,吾人常用頸動脈端─側吻合術或探查另一供血動脈來重建。然而,利用逆流性動脈是另一項可以選擇的方法。我們成功的使用前外側股皮瓣來重建一位右側鱗狀細胞頰癌切除術後的患者,並且使用的供血動脈為逆流性上甲狀腺動脈。因此這種替代方法可以減少手術時間及減少探查血管的傷害。 |
英文摘要 | In neoadjuvant intra-arterial infusion chemotherapy patients, the common recipient arteries are frequently damaged owing to preoperative chemotherapy-induced intima injury. When antegrade arterial inflow to the free flap is not available, end-to-side carotid arterial anastomosis or exploration of another recipient artery may be an appropriate solution. However, reversed arterial flow is an alternative to such a situation. We report a case with squamous cell carcinoma on the right buccal area, which was successfully reconstructed using a free anterolateral thigh flap with reverse superior thyroid arterial inflow. This alternative method might shorten the operation time and also reduce further exploration injury in the operation field. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。