首都医科大学学报 ›› 2011, Vol. 32 ›› Issue (6): 750-753.doi: 10.3969/j.issn.1006-7795.2011.06.008

• 耳鼻咽喉头颈外科进展 • 上一篇    下一篇

延长下斜方肌肌皮瓣修复颅底缺损

李平栋1, 房居高1, 于振坤1, 廉猛1, 马泓智1, 陈晓红1, 黄志刚1, 邱锷2, 傅基第2   

  1. 1. 首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京市耳鼻咽喉科研究所,教育部耳鼻咽喉头颈外科重点实验室, 北京 100730;2. 首都医科大学附属北京同仁医院神经颅底外科,北京 100730
  • 收稿日期:2011-09-16 修回日期:1900-01-01 出版日期:2011-12-21 发布日期:2011-12-21
  • 通讯作者: 房居高

Reconstruction of the skull base defect with lower trapezius musculocutaneous flap

LI Ping-dong1, FANG Ju-gao1, YU Zhen-kun1, LIAN Meng1, MA Hong-zhi1, CHEN Xiao-hong1, HUANG Zhi-gang1, QIU E2, FU Ji-di2   

  1. 1. Department of Otorhinolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing Otolaryngology Institute, Key Laboratory of Otorhinolaryngology Head and Neck Surgery, Ministry of Education, Beijing 100730, China;2. Department of the Neurosurgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China
  • Received:2011-09-16 Revised:1900-01-01 Online:2011-12-21 Published:2011-12-21

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237

被引次数

2

摘要： 目的 观察延长下斜方肌肌皮瓣修复颅底缺损的效果。方法 11例颅底肿瘤切除后的缺损患者,其中男性9例,女性2例。恶性肿瘤9例,良性肿瘤2例,修复均与手术同期完成。结果 7例患者Ⅰ期愈合,3例皮瓣远端部分坏死,1例切口裂开。恶性肿瘤患者的1年生存率为100%, 2年生存率为67%。以上术式功能修复效果好,修复局部有不同程度的塌陷畸形,外形效果一般。结论 延长下斜方肌肌皮瓣术式可用于颅底肿瘤切除后缺损的Ⅰ期修复,功能效果好,外形效果一般。

关键词: 颅底外科, 重建, 下斜方肌肌皮瓣

Abstract: Objective To observe the clinical outcomes of the reconstruction of the skull base defect with the lower trapezius musculocutaneous flap. Methods Eleven patients with skull base tumors, including 9 males and 2 females, were enrolled into this study. Among them, nine patients had malignant tumors and 2 had benign ones. The reconstructions were performed in the same stage while the tumors were resected. Results The first-stage healing was found in 7 patients. Second-stage healing occurred in 4 patients, among whom 3 patients had skin necrosis in distant part of the flaps and 1 wound dehiscence. All patients had satisfied functional results. The 1-year survival rate was 100% and 2-year survival rate was 67%. Conclusion The lower trapezius musculocutaneous flap is a useful local pedal flap in skull base reconstruction. The functional results were satisfying.

Key words: skull base surgery, reconstruction, lower trapezius musculocutaneous flap

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