胸大肌肌皮瓣修复口腔口咽癌手术后组织缺损
Chinese Journal of Clinical Oncology(2011)
Abstract
目的:总结胸大肌岛状肌皮瓣应用于口腔口咽癌手术所致大型组织缺损的体会及其应用价值。方法:对51例因口腔癌或口咽癌手术治疗导致口腔颌面大型组织缺损的患者均选用胸大肌岛状肌皮瓣同期整复。结果:51例胸大肌肌皮瓣中43例完全成活,1例肌皮瓣皮肤完全坏死,7例远心端部分皮肤坏死。所有组织缺损,伤口愈合,患者术后语音和吞咽功能得到修复。结论:胸大肌肌皮瓣解剖变异较小,血供可靠,皮瓣制作简便安全,组织量大,是同期整复口腔颌面部大型组织缺损合适材料。
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Key words
Reconstruction,Oro-pharyngeal cancer,Pectoralis major myocutaneous flap,Tissue defect
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