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喉咽癌范围较广或其下端侵犯到食管入口时,肿瘤切除后术中缺损范围较大甚至造成环周损伤,需要进行修复,常用的修复手段包括:局部皮瓣如胸大肌或游离皮瓣修复,如前臂游离瓣,或者胃代食管修复;当患者需要全喉切除时,喉腔支架及黏膜未被肿瘤侵犯时,可以考虑喉代食管[1]。各种方法都有其优缺点,对于高龄或者糖尿病患者,局部皮瓣修复是安全有效的方法。由于胸大肌通常较厚,用于环周缺损修复术后
Hypopharyngeal cancer, a wide range of violations or its lower end to the esophageal entrance, tumor resection after a larger range of surgical damage or even cause circumferential damage, the need for repair, commonly used repair methods include: local flap such as pectoralis major or free skin Flap repair, such as the forearm free flap, or gastric esophageal repair; when the patient needs total laryngectomy, the throat stent and mucosa is not tumor invasion, you can consider the laryngeal esophagus [1]. Various methods have their advantages and disadvantages, for elderly or diabetic patients, local flap repair is a safe and effective method. As the pectoralis major muscle is usually thicker for circumferential defect repair