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颌面动脉岛状皮瓣是由颌面动静脉供养的鼻唇沟皮瓣。1983年Sasaki等报告了应用带蒂岛状颊瓣修复颈段食道狭窄。继后,Pigget采用颌面动脉岛状皮瓣修复口底缺损。本次,作者将颌面动脉岛状皮瓣制作成粘膜瓣修复了颈段食道狭窄,获得良好效果。病例患者男性,57岁,1984年12月13日因下咽头鳞状细胞癌(T_2N_1M_0)行下咽头-食道肿瘤切除及喉全切术,同时行右侧颈淋巴清扫术,两侧D-P皮瓣重建食道。术后形成瘘孔于1985年8月19日再次应用胸大肌皮瓣修复瘘孔。以后给予放射治疗。11月份出现重建食道部位狭窄,饮食困难,在食道镜直视下用扩棒扩大8个月无效。食道造影显示在相当5,6颈椎水平有食道狭窄。
Maxillofacial artery island flap is supported by the maxillofacial nasal lip groove flap. In 1983, Sasaki et al. Reported the application of pedicled island cheek flap to repair cervical esophageal stenosis. Followed, Pigget using maxillofacial island flap to repair the floor defect. This time, the author made the maxillofacial island flap into mucosal flap to repair cervical esophageal stricture, and achieved good results. Case-patient male, 57 years old, December 13, 1984 due to hypopharyngeal squamous cell carcinoma (T_2N_1M_0) under the pharynx - esophageal tumor resection and laryngectomy, while the right neck dissection, both DP Flap reconstruction esophagus. After the formation of fistula hole on August 19, 1985 once again use the pectoralis major flap repair fistula hole. After giving radiotherapy. Appeared in November reconstruction of esophageal parts of the narrow, difficult to eat, with gastrectomy under the eyes to expand expansion of 8 months is invalid. Esophageal angiography showed significant esophageal stenosis at 5,6 cervical spine level.