Hoại tử mô vùng mặt và cổ sau khi xạ trị: đánh giá điều trị phẫu thuật

• Ngôn ngữ: vie
• Ký hiệu phân loại: 617.5 Regional medicine Regional surgery
• Thông tin xuất bản: Y dược lâm sàng 108, 2015
• Mô tả vật lý: 109-113
• Bộ sưu tập: Metadata
• ID: 654899

Tóm tắt

Objective: The descriptive clinical study was conducted to assess the cervico-facial tissue necrosis post-radiation therapy and the surgical management outcome with complete resection of the lesion plus vascular pedicle flaps reconstruction. Subject and method: 15 patients suffered from tissue necrosis post-radiation therapy were treated by 11 osteo-cutaneous fibular free flaps and 5 ALT free flaps (there was 1 patient using 2 flaps). Result: There were 8 patients with necrotic soft tissue in combination with bone defects, 3 patients with through-and-through cheek defects. These types of lesions practically required much larger defected tissue resections than the pre-operative assessment based upon clinical and imaging studies. The total flap survival were observed in 14 patients among total of 16 patients. Among 11 patients with long-term follow up, there were 9 patients with good results. Conclusion: Tissue necrosis in the cervico-facial area post radiation therapy need to be surgically removed and the size of the resected lesions were often larger than that of the clinically observed lesions: on imaging studies. Complete resection of the lesion combined with reconstructive surgery by vascular pedicle flaps resulted in good functional and cosmetic results.