• 主题
高级搜索  >
历史搜索 清空历史
首页> 美国卫生研究院文献>International Journal of Clinical and Experimental Medicine >Sternocleidomastoid muscle flap used for repairing the dead space after supraomohyoid neck dissection
【2h】

Sternocleidomastoid muscle flap used for repairing the dead space after supraomohyoid neck dissection

机译：胸锁乳突肌肌皮瓣用于修复舌骨上舌骨切除术后的死腔

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Surgical site infection (SSI) is a common complication followed neck dissection and dead space is a common reason of SSI. The present study is aimed to explore whether the sternocleidomastoid muscle (SCM) flap transposition to repair the dead space in level II of neck could decrease the postoperative SSI in patients with oral squamous cell carcinoma (OSCC) underwent supraomohyoid neck dissection (SOND). Ninety-six patients with cT2-3N0 OSCC who underwent extended resection of primary cancer combined SOND and reconstructed with free flap from March 2011 to October 2014 in our department were included. Forty-eight cases underwent SCM transposition to repair the potential dead space in level II of the neck, the other 48 cases did not. The two groups were matched at age, gender, concomitant diseases, and perioperative treatments. All the patients underwent exhaustive hemostasis and careful placement of negative pressure drainage. The wound healing was observed on 7 days postoperatively. The SSI rates of neck between the two groups were compared using Fisher’s exact test. The dead space in level II was observed in all the neck wounds after SOND. The neck wounds healed by primary intention in 46 cases underwent SCM flap transposition, and in 39 cases underwent routine SOND only. Two cases with SCM flap transposition and 9 cases in the group without SCM flap transposition presented SSI in neck. There was significant difference in the SSI rate between the two groups (P = 0.0248). The dead space in level II could be an important cause of SSI in neck followed SOND. Repairing of the dead space in level II using SCM flap transposition reduce the SSI rate of neck followed SOND.
机译：手术部位感染（SSI）是颈部解剖后的常见并发症，死腔是SSI的常见原因。本研究旨在探讨经口舌鳞状上颈清扫术（SOND）的口腔鳞状细胞癌（OSCC）患者，胸锁乳突肌（SCM）皮瓣移位修复颈部II级死腔是否可以降低术后SSI。纳入2011年3月至2014年10月在我科行原发癌联合SOND扩大切除术并游离皮瓣重建的96例cT2-3N0 OSCC患者。 48例接受了SCM换位术以修复颈部II级的潜在死腔，其他48例则没有。两组患者的年龄，性别，伴随疾病和围手术期治疗均相匹配。所有患者均进行了彻底止血，并小心放置负压引流管。术后7天观察伤口愈合情况。使用Fisher精确检验比较两组之间的SSI颈部比率。 SOND后在所有颈部伤口中均观察到II级死角。经原位修复的颈部伤口46例行SCM皮瓣移位，39例仅行常规SOND。 SCM皮瓣移位2例，无SCM皮瓣移位的9例在颈部出现SSI。两组之间的SSI率存在显着差异（P = 0.0248）。 SOND之后，II级死角可能是导致SSI的重要原因。使用SCM皮瓣移位修复II级死区可降低SOND后颈部的SSI率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号