【摘 要】
:
Objective:Composite defects in head and neck region after cancer ablation surgery are difficult to reconstruct, that include cheek through-and-through defects and oral composite tissue defects etc.Chi
论文部分内容阅读
Objective:Composite defects in head and neck region after cancer ablation surgery are difficult to reconstruct, that include cheek through-and-through defects and oral composite tissue defects etc.Chimeric flap provides two or more independent tissue blocks connected to a common mother source vessel that can be used to repair separate defects with composite tissue shortage simultaneously.Compared with double free flap, this technique is simple, efficient and resource effective.In this report, we will introduce the experiences in the application of chimeric flap in the reconstruction of head and neck composite defects.Method: Perforate-based and branchbased chimeric anterolateral thigh flap (ALT) and chimeric fibular flap were the main techniques used in our practice.Result: The application of these flaps was described in clinical cases and their concept, anatomy and clinical indications were discussed.Conclusion: Chimeric flap technique is simple and useful in the reconstruction of composite heed and neck defect.
其他文献
Acquired hemophilia A (AHA) is a very rare disease of idiopathic type, or secondary to malignant tumor, the use of some drugs, or pregnancy.Regardless of the rarity of the disease, there is great pote
Background:Currently, standard treatments for lymphedema patients are conservative lymph drainage such as compression therapy using elastic bandages, and decongestive exercises.Recently, good results
面部软组织凹陷畸形是临床上常见的美容疾患,明显影响求美者的容貌和心理。面部软组织凹陷畸形包括外伤或手术造成的软组织凹陷缺损、颜面消瘦引起的凹陷、半面萎缩症、面部皱纹等。软组织凹陷缺损的实质是软组织量的不足,因此恢复其软组织量是非常有效的治疗方法。使用人工材料填充会引起填充区异物感、排斥反应或假体移位等,自体皮瓣或肌皮瓣移植则供区创伤大、疤痕明显、外形欠佳。自体脂肪颗粒来源广、创伤小、无排斥、操作简
目的:应用再生医学技术,采用自体脂肪干细胞辅助脂肪移植及干细胞面部局部注射治疗面部皮肤老化,实现面部年轻化的目的。面部皮肤老化导致的皱纹、皮肤松弛及组织容量的减少而产生的凹陷,临床上常用人工合成的生物填充物质和自体颗粒脂肪移植治疗,但由于填充物在组织内停留时间短暂,需要重复注射填充,并且不能从根本上修复皮肤老化和组织容量的减少。而自体脂肪移植在面部年轻化治疗中一直存在最大的困惑是成活率低,平均达3
目的 研究超精密毛发移植术治疗瘢痕性秃发的可能性.方法 应用超精密毛发移植术对86例瘢痕性秃发患者进行治疗,Ⅰ期修复75例,Ⅱ期修复11例.根据正常供区/秃发区的面积比及计划移植的毛囊单位密度计算出需要移植的毛囊单位数量,于毛发相对优势供区切取含有相应毛囊单位数的头皮条,制备成含1~3根毛发的毛囊单位移植体.根据移植物大小及移植密度在秃发区打孔并植入毛囊单位移植体.所有患者术后随访6-24个月.使
Background Expanded pol ytetrafluoroethylene (e-PTFE) was invented by W.L.Gore in the late 1960s.It has been becoming a popular material in facial plastic and reconstructive surgery.Use of e-PTFE shee
Objective: To investigate the application of endoscopic in dual plane breast augmentation.Methods: 24 patients underwent endoscopic breast augmentation, using subaxillary incision, endoscope direct vi
目的 注射隆鼻已成为流行,不良的注射材料也被广泛使用。各种不良注射物所致的鼻部并发症也随之产生。尽管已有一些方法被用于修复这类并发症,但一直没有最佳的治疗。本研究旨在探讨鼻部不良注射物取出同期鼻修复的有效方法。方法 对12例(22-44岁)女性不良注射隆鼻患者采用了鼻部不良注射物取出同期行膨体聚四氟乙烯(ePTFE)或固体硅胶—自体真皮复合体隆鼻术和鼻中隔软骨扩展移植行鼻尖成形术。有效避免了鼻部皮
目的 探索脱细胞异体真皮辅助即刻或二期乳房重建手术的可行性,并对其早期临床效果作出评价.方法 2009年9月至2012年12月,北京协和医院整形外科共进行50例脱细胞异体真皮辅助的乳房重建手术,其中即刻乳房再造22例,二期乳房再造28例.所有患者治疗分为3期进行:一期:脱细胞异体真皮覆盖乳房扩张器的下、外侧1/3部分,胸大肌覆盖剩余的2/3部分.然后进行注水并维持4-8个月.二期:取出乳房扩张器,
Objective The repair of bone defects remains a significant clinical challenge.Recent advances have enabled cell-based tissue engineering to be potential options for treatment.Adipose derived stromal c