ADIPOFASCIAL PERFORATOR FLAPS FOR "AESTHETIC'' HEAD AND NECK RECONSTRUCTION

被引：33
作者：
Hanasono, Matthew M. [1 ]
Skoracki, Roman J. [1 ]
Silva, Amanda K. [1 ]
Yu, Peirong [1 ]
机构：
[1] Univ Texas MD Anderson Canc Ctr, Dept Plast Surg, Houston, TX 77030 USA
来源：
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2011年 / 33卷 / 10期
关键词：
adipofascial free flap; perforator flap; anterolateral thigh free flap; deep inferior epigastric perforator flap; head and neck reconstruction; ANTEROLATERAL THIGH FLAPS; DONOR-SITE MORBIDITY; SOFT-TISSUE FLAP; FACIAL CONTOUR; COMPLICATIONS; DEFECTS; CANCER; DISFIGUREMENT; MAXILLECTOMY; EXPERIENCE;
D O I：
10.1002/hed.21637
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Background. Most head and neck reconstructions are performed for wound closure or functional rehabilitation with aesthetic restoration being an important but secondary consideration. Methods. Contour deformities in 40 patients undergoing head and neck resections were reconstructed immediately with adipofascial perforator flaps, including 37 anterolateral thigh and 3 deep inferior epigastric perforator flaps. Results. Reconstructions could be grouped into 1 of 3 defect areas: temporal fossa (n = 3), malar cheek (n = 13), and parotid-mastoid (n = 24). The mean time needed for reconstruction in excess of the oncologic resection was 3.1 hours. There were no flap losses. In no case did a complication delay adjuvant therapy and no patient experienced a decrease in level of activity related to donor site morbidity. Conclusion. Immediate restoration of facial contour with adipofascial perforator flaps is warranted in head and neck oncologic patients to help improve self-image and maintain quality of life. (C) 2010 Wiley Periodicals, Inc. Head Neck 33: 1513-1519, 2011
引用
收藏
页码：1513 / 1519
页数：7
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