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对14例男性、42～63岁、Ⅳ期喉癌行扩大喉全切除术后并发咽、食管瘘的患者于全麻下行咽颈食管部肌皮瓣成形术封闭瘘孔。手术方法:先计算侧壁残留组织,有些病例可利用其舌根粘膜肌瓣,然后行S形皮肤切口,起点在瘘孔缺损上缘,止于下颌角水平。如图。然后切断皮瓣下端和胸锁乳突肌外侧脚前部,剥离皮瓣至颈动脉分歧部。转移肌皮瓣于咽食管瘘创面上,用残余肌
Patients with 14 males, 42-63 years of age, and IV stage laryngeal cancer who underwent extended total laryngectomy and concurrent pharynx and esophageal spasm underwent tamponade with general anesthesia and esophageal musculocutaneous flap closure. Surgical methods: first calculate the residual tissue of the lateral wall. In some cases, the tongue root mucosal muscle flap can be used, and then the S-shaped skin incision is made. The starting point is at the upper edge of the fistula defect and ends at the level of the mandibular angle. As shown. Then cut off the lower part of the flap and the anterior dorsum of the sternocleidomastoid muscle, and peel the flap to the diverging part of the carotid artery. Transfer myocutaneous flaps on the skin of pharyngoesophageal fistula, using residual muscle