用于口咽重建的粘膜岛状皮瓣

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2024-08-01 DOI:10.1016/j.anorl.2023.11.015
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引用次数: 0

摘要

口咽部是头颈部外科医生重建手术中最具挑战性的部位之一。颊肌粘膜岛状皮瓣迂曲于面动脉[隧道化面动脉粘膜岛状皮瓣(t-FAMMIF)]或颊动脉[颊动脉粘膜岛状皮瓣(BAMMIF)],是8-9厘米中等大小缺损的理想重建选择。我们用两个新鲜的标本来展示这两种岛状皮瓣的逐步手术技巧。描述了皮瓣的设计和延伸、解剖平面、血管蒂的识别、皮瓣旋转和嵌入。本文还讨论了每种皮瓣的重建适应症和利弊。粘膜岛状皮瓣是口咽部功能重建的一种非常有用的多功能选择。对颊部血管解剖的详细了解是获得大皮瓣并将并发症风险降至最低的关键。
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Myomucosal island flaps for oropharyngeal reconstruction

The oropharynx represents one of the most challenging areas to reconstruct for the head and neck surgeon. The buccinator myomucosal island flaps pedicled on the facial artery [tunnelized facial artery myomucosal island flap (t-FAMMIF)] or the buccal artery [buccal artery myomucosal island flap (BAMMIF)] are an ideal reconstructive option for moderate size defects measuring up to 8–9 cm. Two fresh specimens have been used to show the step-by-step surgical technique of both island flaps. Design and flap extension, dissection plane, identification of the vascular pedicle, flap rotation and insetting are described. Reconstructive indications and the pros and cons of each one are discussed in this article. Myomucosal island flaps represent a very useful and versatile option for the functional reconstruction of the oropharynx. A detailed knowledge of the vascular anatomy of the cheek is key to obtain a large flap while minimizing the risk of complications.

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来源期刊
CiteScore
3.70
自引率
28.00%
发文量
97
审稿时长
12 days
期刊介绍: European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.
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