锁骨上带蒂皮瓣修复头颈部肿瘤多次手术加放化疗后缺损的应用体会

Application of supraclaricular pedicled skin flap to repair defects of head and neck tumors after multiple treatments of surgery of radiotherapy or chemotherapy

摘要:

目的 探索锁骨上带蒂皮瓣修复头颈肿瘤多次手术加放/化疗后缺损的应用效果。方法 回顾分析3例头颈部肿瘤经过多次放/化疗术后缺损的患者，应用锁骨上带蒂皮瓣进行修复，并定期进行随访。结果 3例患者术后随访皮瓣成活良好，均无感染、坏死等并发症出现。其中1例因缺损较大，未能完全修复，剩余部分缺损3个月后瘢痕化愈合;另外2例恢复良好。结论 锁骨上带蒂皮瓣血运丰富，弹性好，可用于修复头颈部肿瘤多次放/化疗术后等疑难复杂缺损，改善患者外观，提高患者生存质量。

关键词:头颈肿瘤;锁骨上皮瓣;修复;放/化疗;缺损;复发

Abstract:

Objective To explore the application effect of supraclavicular pedicled skin flap in repairing the defect of head and neck tumor after multiple treatments of surgery or radiotherapy or chemotherapy. Methods Three patients with defect of head and neck tumor after multiple treatments of surgery or radiotherapy or chemotherapy were retrospectively analyzed, who were repaired with pedicled supraclavicular flap. Results The flap was survived well in all 3 patients during postoperative follow-up, without infection, necrosis and other complications. One of the 3 patients failed to completely repair the defect due to the larger defect, and the remaining defect was cicatrically healed 3 months later. The other 2 cases of the patients recovered well. Conclusions The supraclavicular pedicled skin flap has rich blood supply and good elasticity, which can be used to repair complicated defects of head and neck tumors after multiple treatment of surgery or chemotherapy or radiotherapy. The application of the repairing can improve the appearance of patients for high quality of life.

Key words:Head and neck tumor;Supraclavicular flap;Repair;Radiation and chemotherapy;Defect;Recurrence