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自1974年11月至1979年3月作者们对29例扁桃体癌行经下颌骨咽部切开术(PTM),并使用颞-额肌皮瓣(LTF)或三角-胸大肌皮瓣(LDP)以修复缺损。文章介绍了PTM的手术操作和LTF、LDP修复缺损部位的方法。 29例病人中24例作LTF,5例作LDP,术后并发症如皮瓣坏死、出血、感染等多见于LDP;行LTF者经口进食在术后25天。作者们认为手术后用皮瓣修复缺损的组织是非常必要的,过去常顾虑切除范围大不够缝合,因而手术保守,导致肿瘤复发;使用皮瓣可以解决切除范围问题。此外,这种宽、厚、营养丰富
Twenty-nine patients with tonsillar cancer underwent mandibularopharyngectomy (PTM) from November 1974 to March 1979 with either temporal-frontal muscle flap (LTF) or triangular-pectoralis major muscle flap (LDP) ) To repair the defect. The article describes the surgical operation of PTM and LTF, LDP repair defect site. Among the 29 patients, 24 were LTF and 5 were LDP. Postoperative complications such as flap necrosis, hemorrhage and infection were found in LDP. Twenty-five days after oral administration of LTF were given. The authors believe it is necessary to repair the damaged tissue with a flap after surgery. In the past, it was often considered that the area of the resection was not large enough for suturing. Therefore, the operation was conservative, resulting in the recurrence of the tumor. Using the flap could solve the problem of resection scope. In addition, this wide, thick, nutritious