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目的:评价横向颈阔肌肌皮瓣和面动脉-颏下动脉岛状肌皮瓣修复颊黏膜癌术后缺损的可靠性。方法:27例颊黏膜鳞状细胞癌手术切除后组织缺损,用颈阔肌肌皮瓣修复15例,面动脉-颏下动脉岛状肌皮瓣修复12例。男19例,女8例;年龄38～74岁,平均56.4岁;T1N0M0期6例,T2N0M0期19例,T3N0M0期2例。皮瓣大小为4.0cm×8.0 cm～5.0cm×11.0 cm。结果:颈阔肌肌皮瓣存活13例,3例小部分坏死,成功率为86.7%(13/15),面动脉-颏下动脉岛状肌皮瓣成功率为91.7%(11/12)。全部病例经6～24个月复查,受区功能正常,供区外形良好。局部复发1例,颈部复发2例。结论:颈阔肌肌皮瓣和面动脉-颏下动脉岛状肌皮瓣均适于颊黏膜中、小型缺损修复。面动脉-颏下动脉岛状肌皮瓣可能比颈阔肌肌皮瓣更为可靠。
OBJECTIVE: To evaluate the reliability of transversal platysma myocutaneous flap and facial artery-submental artery island myocutaneous flap for the repair of postoperative buccal mucosal carcinoma. Methods: 27 cases of buccal mucosa squamous cell carcinoma after surgical resection tissue defect, with platysma flap repair 15 cases, facial artery - submental artery island muscle flap repair in 12 cases. 19 males and 8 females; aged from 38 to 74 years, with an average of 56.4 years; 6 cases of T1N0M0, 19 cases of T2N0M0 and 2 cases of T3N0M0. Flap size 4.0cm × 8.0cm ~ 5.0cm × 11.0cm. Results: The platysma flaps survived in 13 cases and 3 cases in small necrosis with a success rate of 86.7% (13/15). The success rate of facial artery-submental artery myocutaneous flap was 91.7% (11/12) . All cases after 6 to 24 months of review, by the normal function of the district for the good shape of the area. Local recurrence in 1 case, neck recurrence in 2 cases. CONCLUSION: Myocutaneous myocutaneous flap and facial artery-submental artery myocutaneous flap are suitable for mid and small defect repair of buccal mucosa. Facial artery - submental artery myocutaneous flap may be more reliable than the platysma flap.