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作者们回顾了自体移植瓣在头颈部整复术中应用的历史,介绍背阔肌、斜方肌、胸锁乳突肌、颈阔肌和胸大肌肌皮瓣的解剖特征及临床应用,详述胸大肌肌皮瓣的操作方法。本文报导67例患者因切除头颈部恶性肿瘤而行的72次肌皮瓣缺损修复术,其中66次为胸大肌瓣,2次斜方肌瓣和4次胸锁乳突肌瓣。应用于治疗口腔粘膜缺损22次,口咽粘膜缺损19次,喉咽粘膜缺损13次,颈段食管缺损1次,皮肤缺损12次,复合移植(骨肌皮瓣)5次。患者伤口愈
The authors reviewed the history of autologous graft in the application of head and neck surgery and introduced the anatomical features and clinical application of latissimus dorsi, trapezius, sternocleidomastoid, platysma and pectoralis major myocutaneous flaps , Detailed pectoralis major muscle flap operation method. This article reports the repair of 72 myocutaneous flaps in 67 patients with excision of head and neck malignancies. Sixty-six of them were maxillary pectoralis major, two trapezius, and four sternocleidomastoid. It is applied to treat 22 cases of oral mucosal defects, 19 cases of oropharyngeal mucosal defects, 13 cases of laryngopharyngeal mucosal defects, 1 case of cervical esophageal defects, 12 cases of skin defects and 5 times of combined transplantation (myocutaneous flap). Patients wound more