４例头面部皮肤恶性肿瘤，用皮肤膨胀器修复肿块切除后软组织缺损。缺损面积最小为６ｃｍ×５ｃｍ，最大为１０ｃｍ×９ｃｍ，均获成功。随访５年以上，无１例复发。功能和外观整复效果满意。介绍了手术方法。讨论了皮肤软组织膨胀器在整复外科的适应证，以及在皮肤恶性肿瘤的外科治疗和修复中的优点。 In 4 cases of head and facial skin malignancy, skin expanders were used to repair soft tissue defects after resection. The defect area is the smallest 6cm×5cm, and the largest is 10cm×9cm, both of which are successful. After more than 5 years of follow-up, no recurrence occurred. The function and appearance of the entire restoration are satisfactory. Introduced the surgical method. Discusses the indications of skin soft tissue expanders in surgery, as well as the advantages of surgical treatment and repair of cutaneous malignancies.