使用肩胛旁游离皮瓣重建全喉切除术后缺损：病例系列。
Reconstruction of Total Laryngectomy Defect Using Parascapular Free Flap: Case Series.
文献信息
| PMID | 42839736 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Zaid Al-Qurayshi |
| 作者单位 | Department of Otolaryngology-Head and Neck Surgery, University of Iowa Health Care, Iowa City, Iowa, USA. |
| 期刊 | Head & neck |
| SCI 分区 | Q1 |
| IF | 2.5 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 咽喉科 |
中文摘要
背景： 使用带血管组织重建全喉切除术后缺损有助于降低咽皮肤瘘发生的风险。很少有研究评估使用肩胛旁游离皮瓣重建后的结局。
方法： 我们识别了2020年至2024年间接受喉切除术并采用肩胛旁游离皮瓣重建的28例患者。病历回顾侧重于手术特征和术后结局，并使用描述性统计进行总结。
结果： 28例患者中有13例（46%）接受了挽救性喉切除术。平均手术时间为6.6（±1.2）小时。供区并发症发生率低；1例患者出现延迟性伤口裂开，经保守治疗处理。6例患者发生咽皮肤瘘；1例患者需要手术干预。住院时间范围为5至22天，术后禁食时间范围为7至56天。
结论： 我们的经验表明，肩胛旁游离皮瓣是重建喉切除术后缺损的可行选择。
英文摘要
BACKGROUND: Reconstruction of total laryngectomy defects with vascularized tissue helps minimize the risk of pharyngocutaneous fistula development. Few studies have assessed outcomes following reconstruction with a parascapular free flap.
METHODS: We identified 28 patients who underwent laryngectomy with parascapular free flap reconstruction between 2020 and 2024. Chart review was directed toward operative characteristics and postoperative outcomes, which were summarized using descriptive statistics.
RESULTS: Thirteen out of 28 patients (46%) underwent salvage laryngectomy. Average operative time was 6.6 (±1.2) hours. Donor site morbidity was low; one patient experienced delayed wound dehiscence that was managed conservatively. Six patients developed pharyngocutaneous fistula; one patient required surgical intervention. The length of hospital stay ranged from 5 to 22 days, and the duration of postoperative nil per os status ranged from 7 to 56 days.
CONCLUSIONS: Our experience demonstrates that the parascapular free flap is a viable option for reconstruction of defects secondary to laryngectomy.