胸大肌肌皮瓣在头颈部肿瘤手术治疗中的应用

Pectoralis major myocutaneous flap in the application of the head and neck surgery

目的:总结胸大肌肌皮瓣在头颈部肿瘤手术治疗缺损修复中的应用。方法:2011年3月至2016年6月,对20例应用胸大肌肌皮瓣在头颈部肿瘤手术缺损修复中的患者的临床资料进行回顾性分析。20例均为男性,年龄27~71岁。平均年龄54岁。结果:20例患者胸大肌肌皮瓣全部成活。随访2~24个月,患者外观基本满意,吞咽功能恢复良好,均无交流障碍。结论:胸大肌肌皮瓣血供可靠,组织量丰富,且应用较灵活,成活率高,修复效果显著,对于头颈部肿瘤术后较大缺损是较好选择,特别是对晚期头颈部肿瘤放化疗后患者术后较大缺损修复是较好选择,具有广泛临床应用价值,特别适于基层开展。

Objective To summarize experience in pectoralis major myocutaneous （PMMC） flap reconstruction for patients undergoing head and neck surgeries. Methods We conducted a retrospective study to analyse the clinical data of 20 patients who had PMMC flap reconstruction in a head and neck surgery from March 2011 to June 2016. All patients were male, with the average age of 54 years （ranging from 27 to 71 years）. The PMMC flaps of all patients survived after the surgery. Only one patient developed pharyngoeutaneous fistula, and was recovered after treatment with incision dressing. Among follow- ups for 2 to 24 months, all patients got well recovered, the swallowing and communication functions normal communication and the appearance a satisfactory. good looking. Conclusion PMMC renders effective flathe flap reconstruction with broad clinical application value is an optimal choice for patients underwent head and neck surgery with muscle or skin defect, especially for those who had postoperative radiotherapy because of its rich blood supply and it has a lot of affluent tissues, fmore flexibility inle application and higher survival rate. So it is highly applicable, especially for grass-roots hospitals.