带蒂胸大肌皮瓣在头颈部肿瘤术后缺损修复中的应用

目的:探讨运用带蒂胸大肌皮瓣修复头颈部肿瘤切除术后缺损的效果及优点。方法:13例晚期头颈部肿瘤患者,行肿瘤切除术后以带蒂胸大肌皮瓣修复术后缺损。结果:术后11例愈合良好;1例出现腮腺瘘,加压包扎后愈合;1例自动出院后失访。结论:胸大肌皮瓣修复头颈部肿瘤切除术后缺损,具有血供丰富、可修复较大面积缺损、术后愈合较好等优点。对延长患者生命,减轻病痛有重要作用。

Application of pectoralis major flap to reconstruction of massive defects after head and neck tumor excision

Objective:To discuss the effectiveness and advantage of application of pectoralis major flap in the reconstruction of massive defects after head and neck tumor excision.Method:Thirteen patients with head and neck carcinoma underwent tumor excision, and the massive defects were fixed by pectoralis major myocutaneous flap. Ten patients with recurrent laryngeal carcinoma and 2 with hypopharyngeal carcinoma and 1 with thyroid carcinoma were included.Result:Eleven cases healed well,1 case appearanced fistula of parotid gland,1 case was lost to follow-up.Conclusion:Pectoralis major myocutaneous flap with adequate vascularization, enough tissue and ideal healing ability cab be used to reconstruct massive defects . And so it can play an important role in providing a better life expectancy and can radically cure or relieve the complaint.