头颈肿瘤术后缺损修复的现状与展望

Current situation and prospect of defect repair after head and neck tumor resection

摘要:

目的目前头颈肿瘤术后缺损修复的主力皮瓣是穿支皮瓣，前臂皮瓣和股前外侧皮瓣则应用最为广泛。最近头颈邻近皮瓣得到重新开发和利用，包括锁骨上动脉皮瓣、胸肩峰动脉穿支皮瓣和颏下皮瓣，成为头颈部缺损修复新的热点。头颈修复在向着数字化、精准化方向发展的同时，供区功能的保留和受区器官功能重建也是未来发展的方向。近年来，组织工程学、活体组织器官的复合打印技术作为3D打印在头颈修复的潜在应用也得到了广泛探索。

关键词:头颈肿瘤|组织缺损|修复外科手术|外科皮瓣

Abstract:

ObjectiveApplication of perforator flap is the major repair means in repair for tissue defects after resection of head and neck tumor. The forearm flap and the free anterolateral thigh flap are the important workhorse flaps. Local flaps adjacent to head and neck including the supraclavicular artery island flap, the thoracoacromial artery perforator flap and the submental flap have become increasingly popular. Future considerations of head and neck reconstruction are digitalization and precision. Function preservation of donor site and organ function reconstruction of recipient site are also future directions. In recent years, tissueengineered grafts and the complex printing of viable tissues and organs have been explored as the potential application of 3D printing in repair for tissue defects after resection of head and neck tumor.

Key words:Head and neck neoplasmas| Tissue defect|Reconstructive surgical procedure| Surgical flap