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題名 | Reconstruction of Circumferential Pharyngeal Defect Following Cancer Surgery with Tubed Pectoralis Major Myocutaneous Flap and Interdigitating Anastomosis=以管狀胸大肌肌皮瓣和指插縫合法重建癌症手術後的環咽缺損 |
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作者姓名(中文) | 柯政郁; 沈宗憲; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 97:5 1998.05[民87.05] |
頁次 | 頁360-363 |
分類號 | 416.89 |
關鍵詞 | 管狀胸大肌肌皮瓣; 指插縫合法; 癌症手術; 環咽缺損; Hypopharyngeal cancer; Total pharyngolaryngectomy; Circumferential defect; Tubed pectoralis major myocutaneous flap; Interdigitating anastomosis; |
語文 | 英文(English) |
英文摘要 | Hypopharyngeal cancer has a poor prognosis and the tumor may spread submucosally to involve all the pharyngeal mucosa. Reconstruction of circumferential defects after resection of hypopharyngeal cancer is a challenge. We describe our results using a tubed fan-shaped pectoralis major myocutaneous flap and distal interdigitating anastomosis to reconstruct a circumferential pharyngeal defect following surgical resection in six patients with advanced hypopharyngeal cancer. There was no perioperative mortality in this study. Fistula formation occurred in three patients and was corrected by secondary closure in two and spontaneous healing in one. Oral intake was started 2 weeks to 2 months after surgery. Four patients died of distant metastases within 24 months of follow-up and two survived without disease. Neither locoregional recurrence nor stenosis occurred. Our results show that the tubed fan-shaped pectoralis major myocutaneous flap with distal interdigi-tating anastomosis is a reliable way to reconstruct circumferential pharyngeal defects, and is relatively noninvasive. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。