Objective:To evaluate the outcomes following the use of folded supraclavicular flap repaired hypopharyngeal combined neck skin defects. Methods:Folded supraclavicular flap were designed to repaired four cases of hypopharyngeal combined neck skin defects patients. Evaluate their repair effect （3 men,1 woman; mean age:66 years）. Hypopharyngeal fistula from 3.2 cm×1.8 cm to 4.5 cm×3.8 cm,skin defects in the neck from 3.8 cm×2.2 cm to 5.1 cm×4.5 cm. The folded supraclavicular flap from 8 cm×5 cm to 13 cm×9 cm. Results:All flaps survived, head and neck appearance was satisfactory, and no patient experienced a major complication. All patients resumed an oral diet function. No fistula recurrence or stricture developed after 6-19 months of follow-up. Conclusion:The folded supraclavicular flap is a safe and effective flap Repaired for hypopharyngeal combined neck skin defects.
目的：观察以锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损的临床效果。 方法：利用锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损4例患者，评价修复效果。4例患者包括3例男性，1例女性。下咽瘘口大小为3.2 cm×1.8 cm~ 4.5 cm×3.8 cm，颈部皮肤缺损为3.8 cm×2.2 cm～5.1 cm×4.5 cm；所取皮瓣大小为8 cm×5 cm~13 cm×9 cm。 结果：4例皮瓣全部成活，无严重并发症。术后随访6～19个月，患者吞咽功能恢复正常，无咽瘘复发和咽腔狭窄。患者对术后外形满意。 结论：以锁骨上皮瓣折叠修复下咽合并颈部皮肤缺损是有效和安全的方法。.
Keywords: head and neck neoplasms; pedicled flap; pharyngeal fistula; reconstructive surgery; supraclavicular flap.
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