【摘要】 1980年10月至1984年8月,我们修复了口颊洞穿性缺损共16例。6例用前额皮瓣反褶或前额皮瓣加植皮,2例用胸大肌皮瓣反褶,1例用胸大肌皮瓣加植皮,7例同时使用2个皮瓣。结果13例完全成功,3例部分成功。 动脉蒂皮瓣的使用促进了口颊洞穿性缺损修复的发展。我们认为对其修复应因人而异:当缺损较小、病人年龄较大或伴有唇缺损时,使用前额皮瓣反褶或加植皮较好;当缺损较大,病灶感染严重或面部曾用大剂量放疗,同时使用两个皮瓣更为保险。对同时进行颈清扫病人以胸大肌皮瓣修复较适合。更多还原

【Abstract】 Repair of the through and through cheek defects is a difficult problem because repair of internal lining and external coverage must be done simultaneously. 16 cases on repairing such defect of tumor resection had been performed from October 1980 to August 1984 in our department. Of them, 6 were performed with folding of forehead flap or forehead flap with free graft lining, 2 with folding of major myocutaneous flap, one with pectoral major myocutaneous flap and free graft lining, 7 with two flaps simultaneously. 13 total and 3 partial success.The use of arterislized flap promotes the were resulted repairment of this defect. We think that it should be individualized on using this procedure. For smaller defects aged and weaker patients, or those associated with lip defect, forehead flap folding or forehead flap with free graft lining may be better. For bigger defects, cheek lesions with severe infection or those having been irradiated heavily, two flaps may be suitable. For simultaneous lymphnode dissection of the neek, pectoral major myocutaneous flap may be considered.更多还原