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【目的】评价面颈胸旋转皮瓣复合颞肌筋膜瓣修复恶性肿瘤扩大切除手术后颊部大面积洞穿缺损的效果。【方法】8例颊部恶性肿瘤(原发鳞状细胞癌4例,复发鳞状细胞癌和皮肤基底细胞癌各2例)扩大手术切除术后,分别用颞肌筋膜瓣和面颈胸旋转皮瓣修复颊部黏膜皮肤缺损。【结果】无感染,无失败病例,外形满意。经6个月至24个月随访,有1例肿瘤复发,全部病者存活。【结论】面颈胸旋转皮瓣复合颞肌筋膜瓣修复颊部肿瘤切除术后大面积洞穿缺损的效果理想。
【Objective】 To evaluate the effect of face-and-neck thoracic spinous flap combined with temporal myofascial flap in repairing malignant tumors and expanding the large area of cheek holes after resection. 【Methods】 Eight cases of malignant buccal tumors (4 cases of primary squamous cell carcinoma, 2 cases of recurrent squamous cell carcinoma and 2 cases of cutaneous basal cell carcinoma) Rotating flap to repair cheek mucosal skin defect. 【Results】 No infection, no failure cases, shape satisfactory. After 6 months to 24 months of follow-up, 1 case of tumor recurrence, all patients survived. 【Conclusion】 The combination of facial and cervical thoracic spinous flap combined with temporal myofascial flap for repairing large area penetrating defect after cheek tumor resection is effective.