重建口咽缺损欢迎ppt课件.ppt

Reconstruction of Tongue Base Defects;Outline;Introduction;Epidemiology;Epidemiology;Etiology;Tongue base SCCa;Symptoms;Oropharynx;Embryology;Oropharynx;Surgical anatomy;Oropharynx;Oropharyngeal musculature;Base of tongue landmarks;Base of tongue – blood supply;Musculature;Innervation;Oral Cavity;Oropharynx and adjacent structures;Vallecula and Epiglottis;Vallecula/Epiglottis;Surgery of the tongue base;Surgical approaches;Oral approaches;Transoral approach;Transoral Approach -retractor -soft palate elevation (suture vs. catheters) -avoid beveling - cautery or laser;Mandibular lingual release;Mandibulotomy;Lip-split mandibulotomy;Median labio-mandibulo glossotomy;Mandibulectomy;Neck approches;Suprahyoid Pharyngotomy;Pharyngotomy;Supra/Subhyoid supraglottic laryngotomy/ectomy;Transthyroid supraglottic laryngotomy/ectomy ;Reconstruction of defects;Base of tongue function;Base of tongue;Reconstruction;Reconstructive Options;Small defects;Large defects;Local flaps;Regional flaps;Regional flaps;Microvascular flaps;Microvascular flaps;Radial Forearm;Neurovascular pedicle;Technical considerations;Radial Forearm Flap;Radial Forearm Flap;Lateral Arm Flap;Neurovascular pedicle;Technical considerations;Lateral Arm Flap;Lateral Arm Flap;Lateral Thigh Flap;Neurovascular pedicle;Lateral Thigh Flap;Lateral Thigh Flap;Technical considerations;Lateral Thigh Flap;Lateral Thigh Flap;Rectus abdominis;Neurovascular pedicle;Technical considerations;Technical considerations;Rectus abdominis;Rectus abdominis;Latissimus dorsi;Neurovascular pedicle;Technical considerations;Latissimus dorsi;Latissimus dorsi;Algorithm for reconstruction of tongue base defects;Conclusion;Bibliography