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目的:探讨应用折叠延长下斜方肌岛状皮瓣修复面颊部巨大洞穿性缺损的可行性。方法:16例(男10例,女6例,年龄17～75岁,平均年龄55.4岁)面颊部恶性肿瘤扩大切除后面颊部巨大洞穿性缺损患者,采用折叠延长下斜方肌岛状皮瓣修复。皮岛宽7～8 cm,长8～31 cm,折叠修复面颊部洞穿性缺损,恢复口腔内衬里及外侧颊部皮肤。结果:16例皮瓣全部成活。患者面颈部外观良好,口腔功能满意。结论:折叠延长下斜方肌岛状肌皮瓣可作为修复口腔恶性肿瘤根治术后所致面颊部巨大洞穿性缺损的首选皮瓣,其操作简便,安全可靠。
Objective: To explore the feasibility of repairing the huge hole defect of the cheek by using the extended lower trapezius island flap. METHODS: Twenty-six patients (10 males, 6 females, aged 17-75 years, mean age 55.4 years) with enlarged chevronal malignant tumors underwent resection of the huge cheek defect. repair. The skin island is 7 to 8 cm wide and 8 to 31 cm long, which can be folded to repair the cheek defect and restore the inner lining of the mouth and the lateral cheek skin. Results: All 16 flaps survived. Patients face and neck appearance is good, oral function satisfactory. Conclusion: Folding and extending the lower trapezius myocutaneous myocutaneous flap can be used as the first choice flap to repair the huge hole defect of the cheek caused by the radical operation of oral malignant tumor. The operation is simple, safe and reliable.