Fibula osteo-adipofascial flap for reconstruction of a cervical spine and posterior pharyngeal wall defect

被引：8

作者：

Rodriguez-Lorenzo, Andres ^{[1
]}

Mani, Maria Rydevik ^{[1
]}

Thor, Andreas ^{[1
]}

Gudjonsson, Olafur ^{[2
]}

Marklund, Niklas ^{[2
]}

Olerud, Claes ^{[3
]}

Ekberg, Tomas ^{[4
]}

机构：

[1] Uppsala Hosp, Dept Plast & Maxillofacial Surg, Uppsala, Sweden

[2] Uppsala Univ, Dept Neurosurg, Uppsala, Sweden

[3] Uppsala Univ, Dept Orthoped Surg, Uppsala, Sweden

[4] Uppsala Univ, Dept Otorhinolaryngol & Head & Neck Surg, Uppsala, Sweden

来源：

MICROSURGERY | 2014年 / 34卷 / 04期

关键词：

BONE-GRAFT; FUSION;

D O I：

10.1002/micr.22217

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

When reconstructing combined defects of the cervical spine and the posterior pharyngeal wall the goals are bone stability along with continuity of the aerodigestive tract. We present a case of a patient with a cervical spine defect, including C1 to C3, associated with a posterior pharyngeal wall defect after excision of a chordoma and postoperative radiotherapy. The situation was successfully solved with a free fibula osteo-adipofascial flap. The reconstruction with a fibula osteo-adipofascial flap provided several benefits in comparison with a fibula osteo-cutaneous flap in our case, including an easier insetting of the soft tissue component at the pharyngeal level and less bulkiness of the flap allowing our patient to resume normal deglutition. (c) 2013 Wiley Periodicals, Inc. Microsurgery 34:314-318, 2014.

引用

页码：314 / 318

页数：5

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