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患者 男性,37岁。因声嘶三月以喉鳞状细胞癌(T_3N_0M_0)于1987年11月25日入院。 入院检查:一般情况好。右侧声带前联合处有肿物侵袭。故行10MV—X同轴对穿野局部根治性放疗后出院。二个月后,因肿瘤残留,活检为鳞状细胞癌再次入院行全喉切除术,术后併发颈前咽瘘,约3cm×3cm及部分环状软骨坏死。经保守治疗无效,决定应用胸大肌肌皮瓣转移咽瘘修补术。以左侧胸大肌约10cm×6cm面积行第一次皮瓣延迟术,30天后行第二次皮瓣延迟术,皮瓣血运良好。为确保修补成功,修补前以1:5000洗必泰刷牙并嗽口,1:1的灭滴灵液湿敷
Patient Male, 37 years old. He was admitted to hospital on November 25, 1987, due to vocal palsy in March with laryngeal squamous cell carcinoma (T_3N_0M_0). Admission check: Generally good. There was a tumor invasion at the anterior vocal cord anastomosis. Therefore, the 10MV-X coaxial line was discharged after the local radical radiotherapy. Two months later, due to residual tumors, the biopsy showed that the squamous cell carcinoma was re-admitted to the hospital for total laryngectomy, and the posterior cervical anterior pharyngeal fistula was associated with necrosis of approximately 3 cm x 3 cm and part of the annular cartilage. After conservative treatment was ineffective, it was decided to apply a pectoralis major myocutaneous flap for pharyngeal hernia repair. The first flap delay was performed on the left side of the pectoralis major muscle of about 10cm x 6cm, and the second flap was delayed after 30 days. The flap had good blood supply. In order to ensure successful patching, 1:5000 chlorhexidine brushing and gargle before patching, 1:1 metronidazole solution wet compress