Semi-free transverse cervical artery flap for repairing defects after head and neck tumor resection
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摘要: 目的 考察半游离颈横动脉皮瓣修复头颈部肿瘤术后缺损的可行性。方法 回顾2012—2018年15例头颈部肿瘤手术患者，其中口腔癌10例，下咽癌4例，眶面部黏液腺癌1例。用吻合颈横动脉及利用颈外静脉回流的颈横动脉皮瓣修复舌、口底、牙龈或眶面部组织缺损。除眶面部黏液腺癌患者外，其余患者术后补充放化疗。随访1~3年。结果 所有皮瓣均成活，随访期间除1例舌根癌复发外，其余14例未见确切肿瘤复发和转移。结论 半游离颈横动脉皮瓣质量好、操作相对简单、节约时间及医疗成本，有望成为修复头颈部恶性肿瘤术后缺损的重要方法。Abstract: Objective To investigate the feasibility of semi-free transverse cervical artery flaps for repairing the defect of head and neck tumors after operation.Method Clinical records of 15 patients were retrospectively reviewed. Ten cases were diagnosed as oral cancer, 4 cases as hypopharyngeal carcinoma and 1 case as orbito-facial mucinous adenocarcinoma. The defects of tongue, floor of mouth, gingiva or orbitomaxillofacial region after tumor resection were repaired by semi-free transverse cervical artery flap with transverse cervical artery anastomosed to facial artery or superior thyroid artery and with external jugular vein reflux. All patients received postoperative adjunvant chemoradiotherapy except for the patient with mucinous adenocarcinoma. The patients were followed up for 1-3 years.Result All the flaps survived after surgery. Except for one case of tongue base carcinoma recurrence, there was no definite recurrence or metastasis in the other 14 cases during the follow-up time.Conclusion Semi-free transverse cervical artery flaps show favorable healing outcome. The surgical technique is relatively simple, time-saving and cost-effective, therefore are promising in repairing the defect after operation of head and neck tumors.
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