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一、病例报告李×,男,56岁。于1980年9月4日诊为左唇颊部鳞状细胞癌入院。检查:左颊部粘膜至皮肤全层有6×5cm 菜花样肿块,中央破溃,有脓血性分泌物,左口角及上下唇亦被肿瘤侵犯,颈淋巴结未扪及,全身无特殊发现。后于9月11日在气管内插管全麻下行唇颊部肿瘤切除术,术后颊部遗留7×6cm 洞穿性缺损。于左前臂分离7×15cm 大小皮瓣,令其带桡动脉及头静脉,将其移至颊部缺损区,肉眼直视下将头静脉与面总静脉吻合,桡动脉与颌外动脉吻合。吻合后皮瓣切缘有活跃
First, the case report Li ×, male, 56 years old. On September 4, 1980, a diagnosis of left cheek squamous cell carcinoma was admitted. Check: the left cheek mucosa to the full thickness of the skin 6 × 5cm cauliflower-like mass, the central rupture, purulent discharge, left mouth and upper and lower lip is also a tumor violation, neck lymph nodes not palpable, no specific body found. After the September 11 endobronchial intubation under general anesthesia lip cheek tumor resection, postoperative cheek left 7 × 6cm perforated defect. In the left forearm, a 7 × 15cm skin flap was separated to bring the radial artery and the cephalic vein to the defect area of the buccal region. The cephalic vein and the facial vein were anastomosed under the naked eye under direct vision. The radial artery and the external carotid artery were anastomosed. Flap flap anastomosis active