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头颈重建外科近二十年的迅速发展,特别是口腔颌面部恶性肿瘤切除后大型组织缺损利用各种皮瓣、肌皮瓣以及吻合血管的游离组织瓣的即刻重建,在一定程度上恢复了这类患者术区的生理功能和颜面外形。1976年6月～1986年6月十年间,我们对113例口腔颌面部恶性肿瘤切除后大型组织缺损即刻进行重建(不包括利用腭瓣、舌瓣以及唇癌切除后应用局部组织瓣修复的病例),回顾如下。临床资料 113例中男80例,女33例,50～69岁者居多占60例,10～19岁与70岁以上者仅4例。肿瘤发生于颊部者32例,其余依次为口底22例、舌16例、龈14例、腮腺10例、颌下腺4例、颧颞部4例、腭3例、颈部3例、唇颏部3例、上颌窦2例。
Reconstruction of head and neck surgery nearly 20 years of rapid development, especially after oral and maxillofacial malignancy resection of large tissue defects using a variety of flaps, myocutaneous flap and the flap of the anastomotic vascular free flap reconstruction, to some extent, restored The physiological function and facial appearance of such patients in the operation area. From June 1976 to June 1986, we reconstructed large tissue defects immediately after resection of the oral and maxillofacial malignancies (excluding the use of palatal flap, flap, and local tissue flap repair after resection of the lip cancer) from June 1976 to June 1986 Case), reviewed below. Clinical data 113 cases of male 80 cases, female 33 cases, 50 to 69 years old accounted for 60 cases, 10 to 19 years old and over 70 years old only 4 cases. The tumor occurred in the cheek in 32 cases, the other followed by the mouth of 22 cases, 16 cases of tongue, gingival in 14 cases, 10 cases of parotid gland, submandibular gland in 4 cases, 4 cases of zygomatic temporal, 3 cases of palate, 3 cases of neck, Department of 3 cases, 2 cases of maxillary sinus.