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目的 评价岛状胸锁乳突肌皮瓣修复头颈部肿瘤切除术后缺损的效果。 方法 应用岛状胸锁乳突肌皮瓣一期修复头颈肿瘤术后缺损 9例。其中 5例用肌皮瓣修复口腔黏膜缺损 ,1例用肌皮瓣折叠部分修复口腔黏膜缺损、部分修复面颊部皮肤缺损 ,3例修复面颊部或腮腺区皮肤缺损。有7例配合使用多孔钛板修复下颌骨的缺损。 结果 8例岛状胸锁乳突肌肌皮瓣全部成活 ,1例皮瓣远端部分坏死 ,术后 1个半月愈合。 结论 带血管蒂的岛状胸锁乳突肌皮瓣可提供面积较大皮瓣 ,并具有成活率较高且制作容易等优点 ,适用于修复因头颈肿瘤切除术后的缺损。
Objective To evaluate the effect of island sternocleidomastoid flap in the repair of head and neck tumor resection. Methods Nine cases of head and neck tumor postoperative defect were treated with island sternocleidomastoid flap. Five of them repaired oral mucosal defects with myocutaneous flaps, one used mucosal flap to repair the oral mucosa defect, partially repaired the cheek defect, and three repaired the cheek defect or parotid gland defect. There are 7 cases with porous titanium plate to repair the defect of the mandible. Results 8 cases of island sternocleidomastoid myocutaneous flap all survived, 1 case of distal flap necrosis, 1 and a half months after operation. Conclusions The pedunculated island sternocleidomastoid flap with vessel pedicle can provide large area flaps and has the advantages of high survival rate, easy manufacture and so on. It is suitable for the repair of defects after head and neck tumor resection.