肌皮岛状瓣皮肤部分的血供来自其下方的肌肉,当该肌肉转位时,其携带的皮岛瓣可供各种整复手术之用。作者们于1978～1979间共作42例胸大肌皮瓣,应用于头颈部重建术,其中41例是切除癌肿后修补缺损处。1例为颈部食管狭窄的食管重建。患者的年龄在26～93岁间,其中男37名,女5名。41例癌肿的病变部位包括扁桃体13例,口底区5例,舌13例,梨状窝和颈段食管3例,其他7例。修补区域包括口腔23例,口腔缺损和肋骨代替下颌骨4例,食管4例,其他11例。皮瓣的大小多数在100～200cm~2之间(28例),有3例皮瓣面积大干300cm~2。肌皮瓣的设计和手术方法:皮岛瓣的大小依缺损区而定,几乎包括半侧胸壁,内起胸骨中线,外界前腋线,上为锁骨下,下至肋骨缘。沿 Myocostal island flap skin part of the blood supply from the muscle below, when the muscle translocation, its carrying island flap for a variety of plastic surgery. Forty-two cases of pectoralis major myocutaneous flap were co-authored by the authors from 1978 to 1979 for head and neck reconstruction. Among them, 41 cases were repaired after resection of the tumor. One case was esophageal reconstruction of cervical esophageal stenosis. Patients aged 26 to 93 years old, of which 37 were males and 5 females. Lesions of 41 cases of cancer included 13 tonsils, 5 cases of floor of mouth, 13 cases of tongue, 3 cases of pyriform sinus and cervical esophagus, and 7 cases of other cases. Repair area including 23 cases of oral cavity, oral defects and ribs instead of the mandible in 4 cases, 4 cases of esophagus, the other 11 cases. Most of the size of the flap between 100 ~ 200cm ~ 2 (28 cases), 3 cases of large flap area 300cm ~ 2. Myocutaneous flap design and surgical methods: Island flap size according to the defect area may be, including almost half of the chest wall, the midline of the sternal midline, outside the axillary line, on the lower clavicle, down to the rib margin. along