岛状胸锁乳突肌皮瓣在头颈肿瘤手术中的应用

Application of sternocleidomastoid island myocutaneous flap in head and neck neoplasm's operation

目的 评价岛状胸锁乳突肌皮瓣修复头颈部肿瘤切除术后缺损的效果。 方法 应用岛状胸锁乳突肌皮瓣一期修复头颈肿瘤术后缺损 9例。其中 5例用肌皮瓣修复口腔黏膜缺损 ,1例用肌皮瓣折叠部分修复口腔黏膜缺损、部分修复面颊部皮肤缺损 ,3例修复面颊部或腮腺区皮肤缺损。有7例配合使用多孔钛板修复下颌骨的缺损。 结果 8例岛状胸锁乳突肌肌皮瓣全部成活 ,1例皮瓣远端部分坏死 ,术后 1个半月愈合。 结论 带血管蒂的岛状胸锁乳突肌皮瓣可提供面积较大皮瓣 ,并具有成活率较高且制作容易等优点 ,适用于修复因头颈肿瘤切除术后的缺损。

Objective To evaluate the effect of sternocleidomastoid island myocutaneous flap applicating in reconstructing defect of head and neck neoplasms after operation. Methods We used sternocleidomastoid island myocutaneous flap to restore defect postoperation of head and neck neoplasms for 9 patients. Five patients used flap to reconstruct defect of oral mucosal, one case pucker myocutaneous flap, part of it restore oral mucosal defect, part restore skin defect of cheek, the others reconstruct defect of cheek or parotid gland. Seven cases used polyhole titanium to reconstruct mandible bone at the same time. Results Eight cases used sternocleidomastoid island myocutaneous flap survival postoperation, one case's flap appeared necrosis of distant part and recover after one half month. Conclusion Pedical sternocleidomastoid island myocutaneous flap can provide huge flap supply, survival rate higher, easy to execute and not complex, it is suitable for clinical doctors to reconstruct defect after operation for head and neck tumors.