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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Hybrid submental flaps for reconstruction in the head and neck: Part pedicled, part free
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Hybrid submental flaps for reconstruction in the head and neck: Part pedicled, part free

机译：用于重建的混合泡片，用于部门和颈部的重建：部分坐着，部分自由

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Objectives/Hypothesis Evaluate feasibility and success of elongating only the venous pedicle of the submental flap to increase the superior arc of rotation for the "hybrid" flap allowing coverage of more distal defects. Study Design Retrospective evaluation of all submental flaps undergoing pedicle-lengthening procedure at a single institution. Methods Medical records were reviewed for all patients undergoing reconstruction with submental flaps between 2002 and 2012. Information regarding demographics, etiology, location, size, and extent of defects, type of submental flap harvested, operative time, and outcomes were recorded. Special note was made of vascular pedicle length and any pedicle vessel manipulation to increase the superior arc of rotation. Results Nine patients (67% male) with a mean age of 61 years (range, 25-83 years) underwent hybrid submental flap procedures. Eight surgical defects resulted from cancer ablation and one from trauma. Five flaps were musculocutaneous, and four were osseomusculocutaneous. The divided pedicle vein was anastomosed to the external jugular vein (n = 6), retromandibular vein (n = 1), common facial vein (n = 1), and internal jugular vein (n = 1). Pedicle vessel elongation averaged 5 cm. Skin paddle size averaged 71 cm2 (range, 48-99 cm2). All donor sites were closed primarily with no further surgery required. One flap experienced venous thrombosis and was successfully salvaged. Overall flap survival was 100%. No local or regional cancer recurrence was detected in the cancer patients with a mean follow-up of 20 months (range, 3-87 months). Conclusions The hybrid submental flap safely extends the arc of rotation 5 cm, allowing coverage of defects in the forehead, temporal-parietal, and occipital regions.
机译：目的/假设评估只有底部襟翼静脉椎弓根的可行性和成功，以增加“混合动力车”襟翼的旋转弧，允许覆盖更多的缺陷。研究单个机构陷入困境程序的所有泡片襟翼的研究设计回顾性评价。方法对2002年至2012年底部襟翼进行重建的所有患者进行了审查了医疗记录。关于人口统计，病因，位置，尺寸和缺陷程度的信息，记录了收获，手术时间和结果的缺陷类型的类型。特别说明是由血管椎弓根长度和任何椎弓根操纵制成，以增加旋转的优越弧。结果九名患者（67％的男性），平均年龄为61岁（范围，25-83岁）接受杂交泡片手术。患有八种外科缺陷引起的癌症消融和来自创伤的手术缺陷。五瓣肌肉皮下肌肉皮肤，四个是蛇眼皮。分开的椎弓根静脉吻合到外部颈静脉（n = 6），肾上腺静脉（n = 1），常见面静脉（n = 1）和内部颈静脉（n = 1）。椎弓根容器伸长率平均为5厘米。皮肤桨尺寸平均为71厘米（范围，48-99 cm2）。所有供体部位主要被封闭，不需要进一步的手术。一个皮瓣经历了静脉血栓形成并成功挽救。整体皮瓣存活率为100％。在癌症患者中没有发现局部或区域癌症复发，其平均随访20个月（范围，3-87个月）。结论混合泡片安全地延伸了5cm的旋转弧，允许额头，颞旁和枕部区域的缺陷覆盖。

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