Application of acellular dermal matrix in operative cooperation of pharyngeal tissue repair
- VernacularTitle:脱细胞真皮基质黏膜组织补片在咽部修复中应用的手术配合
- Author:
Meiqing LI
;
Liufang HUANG
;
Guiyuan LUO
;
Yuxuan MA
- Publication Type:Journal Article
- Keywords:
Pharyngeal tumor;
Operative cooperation;
Extracellular matrix;
Acellular dermal matrix
- From:
Chinese Journal of Practical Nursing
2008;24(21):41-42
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the key point of application of acellular dermal matrix(ADM)in operative cooperation of pharyngeal tissue repair.Methods In order to rebuild the air-tight cavity,ADM was sewn to the anterior vertebrae fascia in 7 patients with pharyngeal malignant tumor undergoing total laryngectomy or pharyngolaryngectomy to rebuild the posterior wall of the laryngopharynx.Meanwhile the muscular flap of the pectoralis major Was used to rebuild the anterior and lateral walls of the laryngopharynx.Results There was no reject reaction or pharyngeal fistula in these 7 cases and the wound surface were all mucous membranized.All the incisions reached the primary healing.Conclusions ADM is easy to get and possesses good histocompatibility and compatible thickness.It is easy to be managed during operation and can modify the peripharyngeal defect with the combination of muscular flap of the pectoralis major or any other neck tissue.Strict nursing preparation before operation and perfect cooperation during operation are key steps to complete the surgery successfully.
