斜方肌皮島瓣合併胸大肌皮島瓣於腫瘤切除後顏面部缺損區重建之應用－病例報告

胸大肌皮島瓣(Pectoralis Major Myocutaneous Flap)由於根蒂走向穩定，根蒂夠粗，且成功率高，在臨床上常用於重建腫瘤切除後之口外顎面缺損區。但由於腫瘤切除後留下之口腔顎面之口内缺損區太大時無法以單一島瓣作修復，有待合併舌皮瓣進行重建手術，造成術後舌部運動受限。本文病例採用斜方肌皮島瓣(Trapezius Myocutaneous Flap)代替舌皮瓣，合併胸大肌皮瓣修補顎面缺損，對於保留舌部運動功能，及術後外觀之恢復，可致令人滿意之效果。

關鍵字

斜方肌皮島瓣；胸大肌皮島瓣；重建手術

並列摘要

The pectoralis major myocutaneous flap (PMMCF) is a convenient tool for the reconstruction of maxillofacial soft tissue defect after tumor extirpation. For the repair of large thru-and-thru facial defect, however, folding of this flap for intraoral lining is sometimes performed and may predispose to an umpredictable prognosis due to the compromised circulation distal to the folded area. Another choice for the intraoral repair is the tongue flap which may complicated with the disturbance of its postoperative function. In the case report, a case with the large facial defect repaired by the combination of the PMMCF and trapezius flap is proposed. Post-operatively, the esthetics is satisfactory.

並列關鍵字

Trapezius myocutaneous flap ； Pectoralis major myocutaneous flap ； Reconstructive surgery

延伸閱讀

陳一豪、呂宜興（1996）。胸大肌肌皮瓣於頭頸部重建手術之臨床經驗。中華民國耳鼻喉科醫學會雜誌，31(1)，85-89。https://doi.org/10.6286/1996.31.1.85
林立鵬、洪敦杰、蔡國陽（2007）。胸鎖乳突肌皮瓣或肌瓣在口腔癌切除後重建之應用。中華民國口腔顎面外科學會雜誌，18(2)，96-106。https://doi.org/10.7104/CJOMS.200709.0096
陳世偉、李正喆、郭正興、郭英雄、楊博正、韓良俊（1997）。合併肩胸皮瓣及顳肌瓣重建頰癌術後缺損－病例報告。中華民國口腔顎面外科學會雜誌，8(1)，19-25。https://doi.org/10.7104/CJOMS.199703.0019
Chu, C. W., Lee, S. S., Chen, J. S., Lee, K. T., Ker, C. G., & Kuo, K. K. (2007). 以腹直肌皮瓣用於大規模切除癌症病炤後上腹壁缺口重建之經驗－病例報告. 中華民國癌症醫學會雜誌, 23(4), 81-87. https://doi.org/10.6588/JCOS.2007.23.4.2
Chang, C. T., & Chang, C. F. (2005). Soft Tissue Defect of Posterior Neck and Scalp after Reconstruction with Lower Trapezius Myocutaneous Flap for Seven Years: A Case Report. The Changhua Journal of Medicine, 10(2), 98-102. https://www.airitilibrary.com/Article/Detail?DocID=16801504-200504-10-2-98-102-a

國際替代計量

斜方肌皮島瓣合併胸大肌皮島瓣於腫瘤切除後顏面部缺損區重建之應用－病例報告

全文下載

主題瀏覽