胸大肌肌皮瓣於頭頸部重建手術之臨床經驗

Experience of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck Surgery

陳一豪(I-How Chen) ； 呂宜興(Yi-Shing Leu)

《中華民國耳鼻喉科醫學會雜誌》 31卷1期 (1996/02) Pp. 85-89

https://doi.org/10.6286/1996.31.1.85

摘要

胸大肌肌皮瓣的存活率高又接近頭頸部是頭頸部手術後最常使用者，其優點包括：肌皮瓣存活率高、肌皮瓣拿取範圍大，可修補較大的缺損、手術一次可完成且供應處直接縫合、不須顯微手術，手術時間短且皮瓣可填補組織空隙並保護重要血管。馬偕紀念醫院耳鼻喉科自1986年7月至1995年6月間，統計分析172名病患，173例胸大肌肌皮瓣手術，並無皮瓣全部壞死，其中部分壞死有2例佔1.2%，傷口發炎或瘻管有56例佔32.3%。而術前先接受放射治療再實施重建手術有22例，其中16例有傷口發炎佔72.8%，比例略高。皮瓣供應處則有2例部分壞死及5例傷口感染。

關鍵字

胸大肌肌皮瓣

並列摘要

From July 1986 to June 1995, 173 pectoralis major myocutaneous flap (PMMCF) were performed in the Department of Otolaryngology, Mackay Memorial Hospital, for the reconstruction of surgical defects after head and neck surgery in 172 patients.
Fifty-nine flaps were done in surgery for tongue cancer, 47 for hypopharyngeal cancer, 43 for buccal cancer and 24 for others.
There were partial flap necrosis in 2 cases (1.2%) and wound infection or fistular formation in 56 cases (32.3%), the overall complication rate is 33.5%. Only conservative treatment were given for the cases with complication and the wounds were all healed satisfactorily without any further surgery.
The advantages of PMMCF, especially its time-saving, high reliability and can be performed independently by head and neck surgeon, made it still one of the best choice for reconstruction of head and neck surgery.

並列關鍵字

pectoralis major myocutaneous flap