头颈癌手术中的重建和最初的手术切除同样重要。使用肌皮瓣通常只需一期重建,失败率低,致病率和死亡率也低。但随着这种新皮瓣应用的推广,并发症亦见增加。作者们连续观察了50例肌皮瓣手术有15例延迟失败。延迟失败的标准是:手术7～10天后组织丧失;皮瓣表层上皮有30%或以上丧失;伤口破溃需多次手术矫治,住院时间延长。患者使用的皮瓣有胸锁乳突肌皮瓣(重建小缺损),胸肌皮瓣(重建大缺损)及背阔肌皮瓣(重建颈上部和面部大缺损)。胸锁 Reconstruction in head and neck cancer surgery is as important as initial surgical resection. The use of myocutaneous flap usually only need a reconstruction, the failure rate is low, the incidence and mortality are also low. However, with the promotion of this new flap application, complications have also increased. The authors observed in 50 consecutive cases of myocutaneous flap surgery delayed failure in 15 cases. Delayed failure criteria are: tissue loss after 7 to 10 days of operation; skin flap epithelial 30% or more loss; wound rupture need multiple corrective surgery, hospital stay extended. Patients used flaps with sternocleidomastoid flaps (reconstruction of small defects), breast muscle flaps (reconstruction of large defects), and latissimus dorsi flap (reconstruction of large cervical and facial defects). Chest lock