舌癌手术切除后常有运动、语音和吞咽等功能障碍,在缺损广泛累及口底、咽部者尤为严重。舌缺损整复术的主要目的在于修复舌及其邻近器官的缺损,以利恢复功能。要满足这些要求,目前最理想者为肌皮瓣,其血运丰富,包含有皮肤、皮下脂肪及肌肉,为舌再造的好材料。过去曾报告用胸三角皮瓣、颈部带蒂皮瓣整复,常需二期手术断蒂;继后有用前额皮瓣、胸锁乳突肌皮瓣、斜方肌皮瓣、胸大肌皮瓣及背阔肌皮瓣者。作者应用岛状背阔肌皮瓣为6例舌癌切除者作舌再造,取得了良好效果。病员均为男性,年龄50～70岁。舌根癌2例,舌及口底 Tongue cancer surgery often excision, speech and swallowing dysfunction, extensive involvement in the mouth of the mouth, pharynx are particularly serious. The main purpose of the tongue defect repair surgery is to repair the defects of the tongue and its adjacent organs in order to facilitate the recovery of function. To meet these requirements, the most ideal for the current myocutaneous flap, its rich blood supply, including skin, subcutaneous fat and muscle, good material for the reconstruction of the tongue. In the past had reported the use of thoracic triangle flap, neck pedicle flap reconstruction, often require two surgical occlusion; followed by a useful forehead flap, sternocleidomastoid flap, trapezius muscle flap, pectoralis major Flap and latissimus dorsi flap. The authors applied island latissimus dorsi flap for the resection of tongue resection in 6 patients with tongue reconstruction, and achieved good results. Patients are male, aged 50 to 70 years old. Tongue cancer in 2 cases, tongue and mouth