Same stage reconstruction of the tissue defects with island myocutaneous flap in head and neck surgery

Objective In order to promote surviving quality and period, enlarge operative ranges of head and neck surgery, this paper was to summarize retrospectively the clinical experience of 104 cases reconstructed by island myocutaneous flap since 1985. Methods To use four kinds of island myocutaneous flap, forehead,infrahyoid,trapezius and pectoralis major myocutaneous flap, repaired and reconstructed the large defects of ten anatomical regions in 104 cases of carcinoma of head and neck, at the same stage. Results Of the 104 cases, myocutaneous island flaps fully survived in 91cases （87.6%） , all necrosis in 4 cases （4/104,3.8%） , partial necrosis of skin island with that the muscular layer was still viable in 9 cases （9/104,8.6%） , haematoma in 7 cases （7/ 104,6.7% ）,infection in 11 cases（ 11/104,10.5% ）. Ⅰ stage and Ⅱ stage surviving rates of the flaps were 87.6% （ 91/104 ） and 8.6% （ 9/104 ） , respectively. 100 cases of the these patients were radiated with 40 ～ 70 Gy after reconstructing operation and no one appeared the complications of myocutaneous flap necrosis and fission. Conclusion It has excellent anti-infection and endurance of radiation. It is simple, convenient and has higher successful rate and satisfactory efficacy for using the four flaps. It is important to choice projects according tumor region and defect range.

Same stage reconstruction of the tissue defects with island myocutaneous flap in head and neck surgery