在12例晚期喉癌或喉咽癌的广泛切除后,应用胸大肌肌皮瓣或肌瓣修复术区缺损,成活率为92.3％。其中用于喉咽修复3例,颈前修复4例,颈侧修复5例。认为在完全切除癌瘤后,用胸大肌组织瓣可满意修复术后的广泛性缺损,能为晚期病例提供综合治疗的机会。 After extensive resection of 12 cases of advanced laryngeal cancer or hypopharyngeal cancer, the pectoralis major myocutaneous flap or muscle flap was used to repair the defect in the surgical area. The survival rate was 92.3%. Among them, 3 cases were used for reconstruction of the laryngopharynx, 4 cases were repaired before the neck, and 5 cases were repaired with the neck. It is considered that the pectoralis major tissue flap can be satisfactorily repaired after the complete resection of the cancer, and it can provide comprehensive treatment opportunities for advanced cases.