Free perforator flap transfer to reconstruct the defect resulted from resection of head and neck tumor / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the method of free perforator flap reconstructing the defect resulted from head and neck tumor resection.@*METHOD@#Twelve cases treated in our department because of head and neck tumor were reviewed, among which 3 cases employed rectus abdominis flap, 5 cases anterolateral thigh flap, 2 cases latissimus dorsi flap, 2 cases pectoris major flap.@*RESULT@#One case failure with the transfer of latissimus dorsi flap, one case of partial necrosis of anterolateral thigh flap resulting in pharyngeal fistula, one case of artery thrombosis and one case of venous thrombosis occurred and the flap revived after emergent exploration and re-anastomosis. The total survival rate of the transferred flap is 91.6%.@*CONCLUSION@#Free perforator flap is able to be a good choice to reconstruct big defect resulted from head and neck tumor resection because of its simple preparation, big size of donor site.

Modified pedicled cranial periosteum compound flap to reconstruct the defect of anterior cranial fossa complicated with cerebrospinal fluid leakage / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the effect of modified pedicled cranial periosteum compound flap in reconstructing the defect of anterior cranial fossa complicated with cerebrospinal fluid leakage.@*METHOD@#Seven nasal and sinus tumor cases with defects and CSF were undertaken reconstructing surgery with the flap, of which 1 was benign and the others were malignancies. The transferred flap pedicled with the frontal branch of the superficial temporal artery and complemented with ipsilateral supraorbital and/or supratraochlear artery.@*RESULT@#All cases healed without failure, one case with adjuvant radiotherapy experienced partial free frontal bone necrosis and healed by ways of drainage through temporal incision. The inner surface of the flap in the nasal cavity was smooth.@*CONCLUSION@#Frontal cranial periosteum compound flap have some advantages, such as adequate quantity, good blood supply and easily making,so it can be choose as an important method to reconstruct the defects of anterior cranial fossa and CSF leakage.

Primary clinical outcome of the tongue mobility via deep cervical nerve or accessory nerve-restored sublingual nerve / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To explore the clinical prognosis of sublingual nerve anastomosis with a branch of the deep cervical nerves or accessory nerve.@*METHOD@#To retrospectively analyze 2 cases of paraganglion tumor,in which the sublingual nerve were disconnected because of overdrawing of surrounding tissue and tumor invasion. One branch of deep cervical nerve or accessory nerve was dissected and anastomosed to the distal end of sublingual nerve. Steroids and nerve nutritional chemicals were given after operation, and early functional physical exercise was recommended for the two patients.@*RESULT@#The lingual mobility of the two patients was restored partially 1 to 2 months after operation, while the tongue of lesion side suffered from slight atrophy especially in the posterior 1/2 part. The patients experienced better and better mobility of the tongue.@*CONCLUSION@#Sublingual nerve anastomosis with a branch of the deep cervical nerves or accessory nerve is viable. It could be a reconstructive modality for patients suffered from sublingual nerve disconnected.