作者介绍了用胸大肌肌皮瓣进行头颈部重建42例的经验。其中41例系癌肿根治术后的重建,1例系颈段食道良性狭窄切除的重建。患者的年龄自26岁至93岁,男性37例、女性5例。22例曾经放射治疗无效,2例接受过术前放疗。用肌皮瓣重建的部位见表1。 The authors describe the experience of 42 cases of reconstruction of the head and neck with the pectoralis major myocutaneous flap. Among them, 41 cases were reconstructed after radical mastectomy and 1 case was reconstructed by cervical esophageal stricture resection. The patient's age ranged from 26 to 93 years, with 37 males and 5 females. Twenty-two patients had failed radiotherapy and two received preoperative radiotherapy. The site of reconstruction with myocutaneous flap is shown in Table 1.