目的:探讨运用带蒂胸大肌皮瓣修复头颈部肿瘤切除术后缺损的效果及优点。方法:13例晚期头颈部肿瘤患者,行肿瘤切除术后以带蒂胸大肌皮瓣修复术后缺损。结果:术后11例愈合良好;1例出现腮腺瘘,加压包扎后愈合;1例自动出院后失访。结论:胸大肌皮瓣修复头颈部肿瘤切除术后缺损,具有血供丰富、可修复较大面积缺损、术后愈合较好等优点。对延长患者生命,减轻病痛有重要作用。 Objective: To explore the effect and advantages of pedicle pectoralis major flap for the repair of head and neck tumor resection. Methods: Thirteen patients with advanced head and neck cancer underwent resection of the pectoralis major giant myocutaneous flap after tumor resection. Results: In 11 cases, healed well. One case had parotid gland fistula and healed after bandaging. One case was lost after random discharge. Conclusion: Pectoralis major myocutaneous flap repair the head and neck tumor resection after the defect, with rich blood supply, can repair a large area of ​​defect, postoperative healing is good and so on. To prolong the life of patients, reduce the pain has an important role.