PDF(Pubmed)
Abstract：
This article presents a complex case of total pharyngoesophageal defect reconstruction in a patient with recurrent supraglottic squamous cell carcinoma. After failed attempts with free microsurgical techniques due to complications, a tubed myocutaneous pectoralis major flap was successfully employed. The procedure aimed to achieve alimentary continuity, speech, and swallowing functionality. Despite initial challenges and concerns about stenosis, the reconstruction of a total pharyngolarygectomy defect resulted in a good functional outcome, although minor deficits in neck mobility and aesthetic donor zone deformities were noted. The case highlights the broad armamentarium of reconstruction techniques that plastic and aesthetic surgery teams must be trained, namely the myocutaneous pectoralis major flap which in selected cases can be the end solution.
摘要：
本文介绍了一例复发性声门上鳞状细胞癌患者的全咽食管缺损重建的复杂病例。在因并发症而尝试免费显微外科技术失败后，成功使用了管状肌皮肤胸大肌皮瓣。该程序旨在实现饮食连续性，演讲,和吞咽功能。尽管最初的挑战和对狭窄的担忧，全咽切除缺损的重建导致了良好的功能结果，尽管注意到颈部活动性和美学供体区畸形的轻微缺陷。该案例突出了整形和美容手术团队必须接受培训的重建技术的广泛装备，即胸大肌肌肌皮瓣，在选定的情况下可以作为最终解决方案。
