龈癌、舌癌、口底癌及颊癌常浸润到颌骨,甚至累及皮肤。对于这样的病例,需作包括颌骨及面部皮肤在内的肿瘤广泛切除。作者对必须大范围切除的27例广泛口腔癌病人,采用作为改良D—P皮瓣修复法的胸大肌皮瓣或带肋骨的胸大肌皮瓣,进行了一期修复而取得良好的效果。文中列举了三个病例均采用了带肋骨的胸大肌皮瓣。 Gingival cancer, tongue cancer, mouth cancer and cheek cancer often infiltrated the jaw, and even involving the skin. For such cases, extensive resection of the tumor including the jaw and facial skin is required. The authors performed a one-stage repair of 27 patients with extensive oral cancer that required extensive excision with either a pectoralis major myocutaneous flap or a ribbed pectoralis major as a modified D-P flap repair and achieved good results . The article lists three cases were used ribbed pectoralis major flap.