胸大肌双叶肌皮瓣转移一期重建颊部大型洞穿性缺损

ONE-STAGE RECONSTUCTION OF THE LARGE THROUGH-AND-THROUGH DEFECT OF CHEEK WITH BILOBULAR PECTORAL MAJOR MYOCUTANEOUS FLAP

目的 总结应用胸大肌双叶肌皮瓣一期重建颊部大型洞穿性缺损的体会。方法 所用胸大肌肌皮瓣制作成横形并列双叶瓣形式进行转移。结果 16例胸大肌双叶肌皮瓣 ,13例全部成活 ,3例出现部分坏死 ,1例术后疤痕粘连二期松解 ,2例复发。结论 一期重建颊部洞穿性缺损 ,胸大肌双叶肌皮瓣仍是最常用的方法之一。

Objective To report the clinical experience of using bilobular pectoral major myocutaneous flap in one stage repair of the large through and through defects of cheek. Method The pectoral major myocutaneous was transfered with horizontal double lobe flaps. Results The bilobular pectoral major myocutaneous was applied clinically in 16 cases. 13 flaps survived well and 3 flaps necrosed in the distal end of the flaps. Severe scar formation was found in one case; The tumor recurred in 2 cases during 6 months one year follow up.Conclusion Bilobular pectoral major myocutaneous flap is still ideal in one stage repair of the large through and through defect of cheek.