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胸大肌肌皮瓣在口腔颌面部缺损修复中的应用
引用本文:温玉明,唐休发.胸大肌肌皮瓣在口腔颌面部缺损修复中的应用[J].中国修复重建外科杂志,1995,9(3):148-151.
作者姓名:温玉明  唐休发
作者单位:成都市华西医科大学口腔医学院
摘    要:报道219例口腔颌面部肿瘤,其中良性肿瘤18例,恶性肿瘤201例,在肿瘤切除后,均采用胸大肌肌皮瓣修复缺损。采用单皮岛肌皮瓣201例,双皮岛肌皮瓣16例,肌皮骨瓣2例。成功201例,失败18例。讨论了胸大肌皮瓣的优点及适用范围。介绍了手术设计、操作方法。分析了成功与失败的影响因素,认为正确,精细的手术技巧是成功的关键因素。

关 键 词:口腔颌面部缺损  修复术  胸大肌肌皮瓣  肿瘤

ABSTRACTPECTORALIS MAJOR MYOCUTANEOUS FLAP IN THE REP AIR OF ORO-FACIO-MAXIL-LARY DEFECTS
/Wen Yuming, Tang Xiufl, Wang Changmei, er al.ABSTRACTPECTORALIS MAJOR MYOCUTANEOUS FLAP IN THE REP AIR OF ORO-FACIO-MAXIL-LARY DEFECTS[J].Chinese Journal of Reparative and Reconstructive Surgery,1995,9(3):148-151.
Authors:/Wen Yuming  Tang Xiufl  Wang Changmei  er al
Abstract:wo-hundred-nineteen oro-facio-maxillary tumours,18 benigns and 201 malignancies,wererepaired by pectoralis major myocutaneous ftaps following their resections. T he types of flapsused in the repair were:singic island myocutaneous ftaps in 201 cases,double-island myocuta-neous ftaps in 16 cases,and myocutaneous skeletal flaps in 2 cases.The results were susscessfulin 201 cases and failure in 18.he advantages and indications of using pectoralls major myocuta-neous flaps were discusse.The method of design and its relevent surgieal thechniques were in-troduced,and the factors responsible for the success and failure were analyzed.It is noted thatthe correct and meticulous operatiVe techniques were the main factors leading to operat ive suc-cess.
Keywords:Pectoralis major    myocutaneous flap  Oto-facio-maxillary  Tumour
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