Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001)
Trends in head and neck microvascular reconstructive surgery in Liverpool (1992-2001)
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DOI：
10.1016/j.bjoms.2005.07.018
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发表时间：
2006-10-01
影响因子：
1.8
通讯作者：
Vaughan, E. D.
中科院分区：
文献类型：
--
作者：
Brown, J. S.;Magennis, P.;Vaughan, E. D.
微血管重建技术在头颈外科中已经得到了很好的应用，但我们现在正在进入一个以穿支血管和游离皮瓣为例的改良时代。我们提出了一个审查的数据库，介绍了在1992年的单位超过10年的时间，在此期间，977例恶性疾病的患者进行了手术，620个缺陷与游离皮瓣重建。其中前臂桡侧皮瓣358个，前臂桡侧复合皮瓣78个，髂嵴皮瓣84个，腓骨皮瓣43个，肩胛骨皮瓣24个，背阔肌皮瓣26个，腹直肌皮瓣4个，主要的变化是舌切除范围大时采用较大的皮瓣，髂嵴皮瓣优于侧臂皮瓣。腓骨和前臂进行复合重建。提高组织转移的可靠性仍然是一个重要的目标，需要进一步发展可靠的客观方法来监测皮瓣。(C)2005年英国口腔颌面外科医师协会。由爱思唯尔有限公司出版。保留所有权利。
Microvascular reconstructive techniques in head and neck surgery are well established, but we are now entering an era of modification exemplified by perforator and free style free flaps. We present a review of the database introduced into the unit in 1992 over a 10-year period, during which time 977 patients with malignant disease were operated on and 620 defects were reconstructed with free flaps. There were 358 radial forearm flaps, 78 composite radial forearm flaps, 84 iliac crest flaps, 43 fibular flaps, 24 from the scapula, 26 from the latissimus dorsi, 4 from the rectus abdominis, and 3 from the lateral arm. The main changes over this time have been the use of more bulky flaps for larger resections of the tongue and the preference for iliac crest flaps over those from the fibula and forearm for composite reconstructions. Improving reliability of tissue transfer remains an important aim, and further development of reliable objective methods of monitoring of flaps is required. (C) 2005 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.