外伤、炎症,特别是恶性肿瘤的切除常可造成口腔颌面部的洞穿缺损。以往此类患者的整复需要较长的周期及多次手术,且手术后外形及功能多欠满意。显微外科技术的问世,尤其是近十几年来各种肌皮瓣的应用,将口腔颌面部缺损畸形的整复逐渐推向理想境地。笔者近年来采用折叠式胸大肌肌皮瓣为5例颊部及1例口底洞穿性缺损的患者进行了修复,获满意效果,现报告如下。 Trauma, inflammation, especially the removal of malignant tumors can often lead to oral and maxillofacial cavities defects. In the past such patients need a longer period of complex and multiple surgeries, surgery and shape and function more than satisfied. The advent of microsurgery technology, especially the application of various myocutaneous flaps in the last ten years, has gradually pushed the restoration of oral and maxillofacial defect deformities to the ideal situation. In recent years, the author has used the folded pectoralis major myocutaneous flap for the repair of 5 cases of cheek and 1 case of oral defects in the mouth hole obtained satisfactory results, are as follows.