头颈肿瘤外科治疗的首要目的是彻底切除肿瘤以达到根治的效果。因此,在肿瘤切除的过程中应该做到各个方向切除足够的安全界。过去由于缺少理想修复手段,手术者首先要保证伤口能够关闭,但切除边界可能不够导致肿瘤复发。因此,手术医师只有在明确手术缺损能够被妥善修复的情况下,才能按照根治的需要进行病变切除。经过20多年发展的游离组织瓣移植技术,为头颈外科医师做到足够、适当的切除肿瘤提供了保证。 Head and neck cancer Surgical treatment of the primary purpose is to completely remove the tumor in order to achieve the effect of radical. Therefore, in the process of tumor resection should be done in all directions removed enough security community. In the past due to the lack of ideal repair, the surgeon must first ensure that the wound can be closed, but the removal of the border may not be enough to cause tumor recurrence. Therefore, the surgeon can only perform resection of the lesion in accordance with the radical need, only when it is clear that the surgical defect can be properly repaired. After more than 20 years of development of the free flap transplantation technology for head and neck surgeons to do enough, the appropriate removal of the tumor provided a guarantee.