关键词: Case report Laryngeal tumor Pectoralis major flap Reconstruction

来  源:   DOI:10.1016/j.ijscr.2024.109665   PDF(Pubmed)

Abstract:
UNASSIGNED: The pectoralis major flap is one of the leading regional pedicled flaps for reconstructive surgery of the head and neck, particularly in oncology after tumor resection. Despite the increasing use of free flaps, this type of flap is still highly recommended in defined indications. It is a highly reliable flap in terms of viability.
METHODS: We report the case of a man treated in our ENT department for a squamous cell carcinoma of the three laryngeal stages, anteriorly very extensive and requiring total laryngectomy extended to the skin and subcutaneous planes opposite, followed by reconstruction with a flap of the pectoralis major muscle. Post-surgical outcome was excellent.
UNASSIGNED: Aryan was the first person to describe the use of the pectoralis major muscle flap. Since then, several studies have demonstrated the great value of this flap in face and neck reconstruction, thanks to its wide indications and excellent viability rate.
CONCLUSIONS: The pectoralis major muscle flap represents a valuable reconstructive option for substance loss in the cervicofacial region despite the great development of microsurgery and free flaps.
摘要:
胸大肌皮瓣是头颈部重建手术的主要区域带蒂皮瓣之一,特别是肿瘤切除后的肿瘤学。尽管越来越多地使用自由皮瓣,这种类型的皮瓣仍然强烈建议在定义的适应症。就生存力而言,它是高度可靠的皮瓣。
方法:我们报告了一个在耳鼻喉科接受治疗的人的三个喉部鳞状细胞癌,前部非常广泛,需要全喉切除术延伸到皮肤和皮下平面相对,然后用胸大肌皮瓣重建。手术后结果极好。
Aryan是第一个描述使用胸大肌皮瓣的人。从那以后,一些研究已经证明了这种皮瓣在面部和颈部重建中的巨大价值,由于其广泛的适应症和优异的成活率。
结论:尽管显微外科手术和游离皮瓣取得了巨大的发展,但胸大肌皮瓣代表了一种有价值的重建选择,以治疗颈面部区域的物质损失。
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