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25例喉癌切除木后用颈阔肌肌筋膜瓣整复,全部(92%)或部分恢复了喉功能。手术时根据肿瘤大小与部位行喉部分切除、次全喉或扩大次全喉切除,沿颈浅筋膜层将颈阔肌连同其肌筋膜与皮下组织分开,根据缺损的大小,切制相应的单蒂颈阔肌肌筋膜瓣并转入术腔修补缺损。该法取材方便,制作简单,适用于较大的咽、喉缺损。由于预阔肌筋膜较薄,术后呼吸通畅,发音较好。
Twenty-five laryngeal cancers were resected with platysma myofascial flap, all (92%) or partially restored laryngeal function. Surgery based on tumor size and location of throat partial resection, subtotal throat or subtotal total laryngectomy, along the superficial fascia layer of the platysma with its myofascial and subcutaneous tissue, according to the size of the defect, cut the corresponding Of the single-neck platysma myofascial flap and transferred to the surgical cavity to repair defects. The method is easy to draw, make simple, suitable for larger throat, throat defects. As the pre-septal fascia thinner, postoperative respiratory smooth, pronounced better.