Beare(1969)首次描述面颈部皮瓣,从此这种皮瓣被用来修复眶内容物剜出术后缺损及上颊部的各种缺损。材料和方法 45例,使用该皮瓣的指征是皮肤恶性肿瘤及眶部肿瘤。该皮瓣是耳前区带一窄蒂的颊瓣。其设计是首先把缺损区下缘的切口延长到近耳廓的上极,中部沿鼻唇沟切开皮肤,越过下颌骨下缘进入颈部到胸锁乳突肌前缘中点,然后将切口弯曲向上终止于耳垂前方(图1、2)、从皮下脂肪层掀起整个颊瓣,分离至蒂部的1cm 处为止。剥离平面位于面神经分支的浅面,应仔细保护面神经以免损伤。剥离的皮瓣很容易向上方移动修复缺损。如已施行了眶内容物剜出术,应修整眶骨下缘,使皮瓣顺利地覆盖创面,并防止皮瓣过度扭转和紧张。颈部的继发缺损可用 V—Y 方法直接 Beare (1969) first described facial and cervical flaps, from which the flap was used to repair orbital contents and various defects of the upper cheek. Materials and Methods 45 cases, the use of the flap of indications is skin cancer and orbital tumor. The flap is a narrow pedicle flap in the anterior region of the ear. Its design is to extend the incision at the lower edge of the defect area to the upper pole near the auricle. The middle incision of the skin along the nasolabial fissure, over the lower edge of the mandible and into the midpoint of the anterior margin of the sternocleidomastoid muscle, The incision curve ends up in front of the earlobe (Fig. 1, 2) and the entire buccal flap is lifted from the subcutaneous fat layer and separated 1 cm to the pedicle. Peeling plane is located in the superficial facial nerve branches, facial nerve should be carefully protected from injury. Peeled flap is easy to move up to repair defects. If the orbital contents have been performed, the lower edge of the orbital bone should be trimmed so that the flap covers the wound smoothly and the flap is prevented from being excessively twisted and tense. Secondary neck defect available V-Y method directly