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題 名 | The Utilization of Locoregional Flaps in Extensive Head and Neck Reconstruction as a Salvage Option and in Supplementation of Free Flaps--A 10-Year Experience=局部皮瓣在做為自由皮瓣的搶救及輔助於廣泛性頭頸癌重建的應用--十年經驗 |
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作 者 | 蔡昀達; 周康益; 陳彥州; 陳建璋; 楊家森; 林寶源; 黃慧芬; 郭耀仁; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 23:1 2014.03[民103.03] |
頁 次 | 頁12-22 |
分類號 | 416.413 |
關鍵詞 | 頭頸癌; 局部皮瓣; 自由皮瓣; Pectoralis major flap; Delto-pectoral flap; Head and neck reconstruction; Salvag; |
語 文 | 英文(English) |
中文摘要 | 背景:自由皮瓣移植已經取代局部皮瓣成為頭頸癌重建的主要角色,然而,局部皮瓣仍然有其存在的價值,特別是在有些情況如:自由皮瓣失敗、緩和醫療或是病人有高風險的合併症以致不適合接受自由皮瓣移植時。目的及目標:介於研究大量使用自由皮瓣移植的機構在局部皮瓣的適應症及使用。材料及方法:從2001年一月至2009年12月,共有28個人接受了30個局部皮瓣重建,包括24個胸大肌皮瓣及6個三角胸大肌皮瓣,相關的病人資料、病史、適應症及之前接受過的手術及輔助性治療都列入收集,術後結果包括手術併發症、感染、及壞死,也都做重新探討。結果:十五個皮瓣使用於腫瘤切除後的直接重建,其中三個為合併自由皮瓣移植的重建;另外十五個皮瓣則用於自由皮瓣失敗後的搶救,其中包括一個病人在沒有適合的血管時同時使用兩個局部皮瓣,另外,其中一個皮瓣由於深部頸部感染導致完全皮瓣壞死,因而需要第二個局部皮瓣,整體的成功率為96.7%。所有的病人都相當能忍受取皮瓣處的傷口狀況。結論:局部皮瓣仍然是一個在搶救頭頸癌重建的重要選擇,特別是在沒有適當的接受端血管以致自由皮瓣難以實行時,至於在直接重建上,過於廣泛且複雜的缺損以及單一自由皮瓣難以實行時,合併局部皮瓣的使用可使病人受惠於其皮膚色澤相近的優點。 |
英文摘要 | Background:Free tissue transfer has supplanted the locoregional flap treatment in major head and neck reconstruction surgery. However, the locoregional flap procedure remains relevant, especially in the context of failed free flaps, palliative management or comorbidities present significant risk to free tissue transfer.Aim and Objectives:The objective of this study was to examine the indications and use of locoregional flaps in a high-volume unit performing free tissue transfers.Materials and Methods:From January 2001 to December 2009, thirty locoregional flaps were used for reconstruction on 28 patients. Twenty-four pectoralis major flaps and 6 deltopectoral flaps were used. The relevant patient demographic data collected included patient history, indications, prior surgeries and adjuvant treatment. Outcome measurements, including complications, infections, and necrosis, were reviewed.Results: Fifteen flaps were performed for immediate reconstruction after tumor ablation, with 3 as supplement to free tissue transfer. Another fifteen flaps were used as salvage procedures following failed free flaps, including two local flaps performed on one patient simultaneously due to the absence of recipient vessels. In addition, one flap suffered from a deep neck infection and resulted in complete flap loss. However, the second local flap survived. The overall success rate was 96.7%. All patients tolerated well to their donor sites.Conclusion:Locoregional flaps remain a viable option for salvage procedures in head and neck reconstruction. These procedures are especially useful when scarcity of good recipient vessels prohibit the for free flap option. As a first line treatment, the complex defects that are too extensive for treatment with single flaps may also benefit from the superior color match of an additional locoregional flap as its external surface. |
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