论文部分内容阅读
目的:探讨应用颏下皮瓣修复不保留喉功能的下咽癌术后近环周缺损的疗效。方法:所有患者均行不保留喉功能的下咽癌根治术,术中同期行颏下瓣修复下咽黏膜缺损。结果:术后13例皮瓣全部成活,吞咽功能恢复良好,其中2例术后出现咽瘘。随访6~42个月,3例术后颈部淋巴结复发,无下咽局部复发者。7例随访3年以上,存活3例。结论:修复不保留喉功能的下咽癌术后近环周缺损,颏下瓣具有位置邻近、安全、简便、成功率高等优点,是适宜的下咽缺损修复材料。
Objective: To investigate the effect of applying submental skin flap to repair peri-operative peripheral defect of hypopharyngeal carcinoma without preserving laryngeal function. Methods: All patients underwent radical surgery of hypopharyngeal carcinoma without preserving laryngeal function. The chin subarachnoid flap was used to repair the pharyngeal mucosa defect during the same period. Results: All the flaps survived after operation and the swallowing function recovered well. Two cases had pharyngeal fistula after operation. Followed up for 6 to 42 months, 3 cases of cervical lymph node recurrence, no subpharyngeal local recurrence. Seven cases were followed up for more than 3 years and survived in 3 cases. CONCLUSION: It is an appropriate hypopharyngeal defect repair material to repair the proximal perioperative defect of laryngeal carcinoma without preserving laryngeal function. The submental flap has the advantages of proximity, safety, simplicity and high success rate.