胸大肌肌皮瓣修复口腔癌术后大面积缺损临床总结

Pectoralis Major Myocutaneous Flap in Oral and Maxillofacial Reconstruction:a Retrospective Review

目的:探讨晚期口腔癌术后组织缺损的修复,介绍胸大肌肌皮瓣修复口腔癌术后大面积组织缺损的临床经验。方法:总结分析2005—2009年40例晚期口腔癌患者根治术后胸大肌肌皮瓣修复口内组织缺损的临床资料。结果:40例用胸大肌肌皮瓣关闭口内创面;39例肌皮瓣全部成活;1例部分成活,远端皮肤坏死;术后外形及张口度均恢复良好。结论:胸大肌肌皮瓣组织量大,血运丰富,是修复晚期口腔癌术后大面积组织缺损的一种有效方法。

Objective： To review the methods in the reconstruction of the oral cancer defects and to explore the clinical experiences of the peetoralis major myocutaneous flap. Methods： From 2005 to 2009, 40 patients with advanced oral cancer were treated by surgical operation and the intraoral defects were reconstructed with peetoralis major myocutaneous flaps. Results： All the flaps survived well except one flap was suffered with distal skin necrosis. All patients were satisfied with the facial asethetic and mouth opening. Conclusion： The tissue amount and blood supply of the pectoralis major myocutaneous flap are rich enough to reconstruct the oral cancer defects.