10种移植物修复头颈缺损的体会

Experience of Using 10 Kinds of Grafts for Repairing Defects of Head and Neck

１９８３年１２月～１９９４年１２月应用１０种组织瓣修复头颈肿瘤切除术后缺损１０３例，其中吻合血管的骼骨游离移植１１例，带血管蒂的上斜方肌肌皮瓣７例，后置舌瓣２例，胸大肌肌皮瓣３０例，舌骨下肌皮瓣２２例，前额皮瓣２０例，外侧斜方肌肌皮瓣４例，胸锁乳突肌肌皮瓣２例，胸锁乳突肌锁骨瓣２例，颈阔肌肌皮瓣３例。作者对不同移植物的利弊、适应证和临床应用体会进行了讨论。

From Dec 1983 to Dec 1994,10 kinds of grafts were used for reconstruction of various defects after resection of head and neck tumours in 103 cases,including vasculerized iliac grafts(11 cases),superier trapezius myocutaneous flaps(7 cases),set-back tongue flaps(2 cas-es),pectoralis major myocutaneous flaps(30 carqes),infrahyoid myocutancous flaps(22 cases)forehead flaps(20 cases),lateral island trapezious flaps(4 cases),sternocleidomastoid myeeuta-neous flaps(2 cases),clavicle bene grafts with sternocleidomastoid muscle(2 cases),and platysma myocutaneous flaps(3 cases).Each has its merits and shortcomings.Discusssion was focused on the indication and experience for application of different grafts.