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目的:总结胸大肌岛状肌皮瓣应用于口腔口咽癌手术所致大型组织缺损的体会及其应用价值。方法:对51例因口腔癌或口咽癌手术治疗导致口腔颌面大型组织缺损的患者均选用胸大肌岛状肌皮瓣同期整复。结果:51例胸大肌肌皮瓣中43例完全成活,1例肌皮瓣皮肤完全坏死,7例远心端部分皮肤坏死。所有组织缺损,伤口愈合,患者术后语音和吞咽功能得到修复。结论:胸大肌肌皮瓣解剖变异较小,血供可靠,皮瓣制作简便安全,组织量大,是同期整复口腔颌面部大型组织缺损合适材料。
Objective: To summarize the experience and application value of pectoralis major myocutaneous myocutaneous flap in the treatment of large-scale tissue defects caused by oropharyngeal carcinoma. Methods: 51 patients with oral or maxillofacial tissue defects due to surgical treatment of oral cancer or oropharyngeal carcinoma were treated with resection of pectoralis major myocutaneous myocutaneous flap. Results: In 51 cases of pectoralis major myocutaneous flap, 43 cases were completely alive, 1 case of myocutaneous flap was completely necrotic, and 7 cases of distal part of skin necrosis. All tissue defects, wound healing, postoperative patients with voice and swallowing function was repaired. Conclusion: The pectoralis major myocutaneous flap has less anatomical variation, reliable blood supply, simple and safe skin flap preparation and large amount of tissue. It is a suitable material to reconstruct large tissue defects of oral and maxillofacial region in the same period.