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目的探讨胸锁乳突肌皮瓣修复喉咽癌切除术后缺损的效果。方法应用胸锁乳突肌皮瓣一期修复喉咽癌术后缺损12例,其中梨状窝区癌6例,喉咽侧后壁癌6例。结果11例胸锁乳突肌皮瓣全部成活,1例皮瓣远端部位表皮坏死,术后35d愈合。结论胸锁乳突肌皮瓣血运丰富,可提供面积较大皮瓣,成活率较高并且制作简便,可有效的修复喉咽癌切除术后的缺损。
Objective To investigate the effect of sternocleidomastoid myocutaneous flap in repairing the defect after resection of laryngopharyngeal carcinoma. Methods One case of sternocleidomastoid myocutaneous flap was used to repair 12 cases of laryngopharyngeal carcinoma postoperative defect, including 6 cases of carcinoma of piriformis and 6 cases of posterior wall of laryngopharynx. Results All the 11 cases of sternocleidomastoid flap survived, and 1 case had epidermal necrosis in the distal part of the flap, which healed 35 days after operation. Conclusion Sternocleidomastoid myocutaneous flap is rich in blood supply, can provide larger area flap, higher survival rate and easy to manufacture, which can effectively repair the defect after laryngopharyngeal carcinoma resection.