Transplantation of free latissimus dorsimyocutaneous flaps for repairing head and neck defect after tumor resection

VernacularTitle:应用游离背阔肌肌皮瓣修复局部晚期头颈部肿瘤术后缺损
Author: Jin CHEN ¹ ; Zhaohui WANG ; Tao TANG ; Chunhua LI ; Yongcong CAI
Author Information

1. 四川省肿瘤医院头颈外科
Keywords: Free tissue flap; Reconstructive surgical procedures; Head and neck neoplasms
From: Chinese Journal of Otorhinolaryngology Head and Neck Surgery 2015;50(12):1026-1029
CountryChina
Language:Chinese
Abstract: Objective To explore the value of free latissimus dorsimyocutaneous flap in repairing severe defect of head and neck after resection of tumor.Methods Free latissimus dorsimyocutaneous flap was used to repair defect after resection of tumor in 12 patients (13 sides) with head and neck tumors.Of them 2 cases underwent radical radiotherapy before operation.and 3 cases received adjuvant radiotherapy postoperatively.Results Aside from one flap with necrosis, other 12 flaps survived after operation including 5 cases with radiotherapy.Conclusion Free latissimus dorsimvocutaneous flap can afford large tissue, has reliable blood supply, is easy to survive, and resist to radiotherapy, which is fit for repairing severe defect of head and neck.