拉提西姆斯背部肌皮自由用于喉切除缺陷的喉
Corin M Kinkhabwala1, Julian Amin1, Tyler Rist1
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Head & neck
|February 23, 2024
概括
斜背肌皮自由 (LDMFF) 在复杂的头部和部重建中提供100%的生存率. 这种片对于需要喉切除缺陷修复的高风险患者来说是一个强大的选择.
科学领域:
- 头部和部手术 头部和部手术
- 重建性手术是一种重建性手术.
- 在瘤学瘤学.
背景情况:
- 喉切除术缺陷的传统方法包括辐射前臂,前侧大腿或阴茎自由板.
- 斜背肌皮自由 (LDMFF) 为具有复杂缺陷的高风险患者提供了替代方案.
研究的目的:
- 为了评估 latissimus dorsi肌皮自由 (LDMFF) 在重建喉切除缺陷中的有效性和结果.
- 评估LDMFF对高风险和辐射患者的适用性.
主要方法:
- 从2017年到2022年进行LDMFF重建的24名患者的回顾性病例系列.
- 在捐赠者和接受者地点 (头部和部) 评估结果.
主要成果:
- 百分之百的片存活率.
- 喉皮质 (4.2%) 和气管-食道周围 (8.3%) 的发病率较低.
- 71%的患者获得了口服,其中29%依赖于G管;29.2%的患者经历了需要扩张的收缩. 轻微的,保守地管理的供体部位并发症.
结论:
- LDMFF是复杂的喉缺陷的强大的重建选择,包括皮肤参与.
- 它对放射性,高风险的患者特别有益,需要进行喉切除术重建.
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