Comparative study of different incision for neck dissection

doi:10.13406/j.cnki.cyxb.2000.02.039

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Comparative study of different incision for neck dissection

更新时间：2024-01-17

- Comparative study of different incision for neck dissection
- Journal of Chongqing Medical University Issue 2, Pages: 208-209(2000)
- 作者机构：
  
  重庆医科大学临床学院口腔科,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2000.02.039
  CLC： R730.5
- Published：2000，
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[1]张劲松,季平.四种颈淋巴清扫术切口在口腔外科中的比较[J].重庆医科大学学报,2000(02):208-209.

Comparative study of different incision for neck dissection. [J]. Journal of Chongqing Medical University (2):208-209(2000)
[1]张劲松,季平.四种颈淋巴清扫术切口在口腔外科中的比较[J].重庆医科大学学报,2000(02):208-209. DOI： 10.13406/j.cnki.cyxb.2000.02.039.

Comparative study of different incision for neck dissection. [J]. Journal of Chongqing Medical University (2):208-209(2000) DOI： 10.13406/j.cnki.cyxb.2000.02.039.

摘要

目的 :对四种颈淋巴清扫术常用切口 :改良T形

类矩形

平行切口以及围裙式切口术中手术野的暴露难易

术后伤口的愈合

术后的外观进行了比较。方法 :选用本院口腔外科 1987年 6月至 1999年 6月的临床资料

统计采用各种术式伤口愈合不良

伤口局部坏死

伤口裂开的发生情况

并主观评价术后的外观。结果 :改良T形有 11/ 6 3伤口愈合不良

其中2例伤口裂开

3例皮瓣局部坏死

类矩形切口伤口愈合不良的发生率为 8/ 5 4

1/ 5 4发生伤口裂开

1/ 5 4发生局部坏死。围裙式和平行切口未出现并发症。结论 :四种切口各有优缺点

对于术前接受放疗的病人

采用平行切口和围裙式切口较为安全

Abstract

Objective:To Compare four commonly used incisions for neck dissection

modified Crile

Yoels incision

MacFee and apron incision with respect of their postoperative wound complications. Methods:Retrospective review of 137 neck dissections using above four incisions in department of Oral & Maxillofacial Surgery

Chongqing Medical University Affiliated No.1 Hospital

and compare incidence of undesirable healing

wound dehiscence

partial flap necrosis and postoperative cosmetic result. Results:There were 2/63 wound dehiscence (one of them healed after using saveboat flap) and 3/63 partial marginal flap necrosis in modified Crile group.In Yoel group

there were 1/54 wound dehiscence

1/54 partial flap necrosis. There were no wound complication in apron and MacFee group. Conclusion:Every incision has advantage and disadvantage in radiated neck

but we believe using MacFee and apron would decrease the incidence of flap complication and get good cosmetic result.

关键词

颈淋巴清扫术切口并发症

Keywords

Neck DissectionFlap incisioncomplication

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Fan Liping

Liu Yucun

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Related Institution

Department of Respiratory Medicine,The First Affiliated Hospital of Chongqing Medical University

Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education

Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences

Department of Oral and Maxillofacial Surgery,Stomatological Hospital of Chongqing Medical University

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