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机构地区:[1]山西医科大学第一医院耳鼻咽喉头颈外科耳鼻咽喉头颈肿瘤山西省重点实验室,太原030001
出 处:《临床耳鼻咽喉头颈外科杂志》2015年第17期1509-1510,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery
摘 要:重建R762下咽及颈段食管缺损是晚期喉癌、下咽癌及颈段食管癌手术所致的常见结果,下咽及食管的环周缺损是其最严重的程度。如果缺损程度轻,咽部残留黏膜可以自身缝合,不影响功能;如果缺损程度重,则需要修复,以恢复正常的吞咽功能。一般来说,如果咽部残留的黏膜宽度小于3.0cm,缝合黏膜,直接关闭咽腔后很容易导致咽腔狭窄。Anterolateral thigh flap, a better flap for reconstruction of hypopharyngeal and cervical esophageal defects Summary Because of minimal donor site morbidity, adequate tissue, excellent clinical and functional results, the anterolateral thigh flap has become one of the most important tissue flaps which are used to repair the defects of head and neck. Generally, anterolateral thigh flap is mainly used to repair the maxillofacial defects in head and neck surgery. However, the anterolateral thigh flap is a better tissue flap for reconstruction of hypopharyngeal and cervical esophageal defects.
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