提高头颈肿瘤术后缺损一期修复质量的体会

本文总结了头颈肿瘤术后缺损行一期修复８９例的临床经验，认为首次治疗的设计正确合理是一期修复质量的保证；全面掌握修复手段，不断提高修复技术是提高一期修复质量的关键。文中讨论了三角形皮下蒂皮瓣、颈阔肌肌皮瓣、胸锁乳突肌肌皮瓣、舌骨下肌群肌皮瓣、舌瓣、腭瓣、额瓣、颈前带状肌（皮）瓣、胸大肌肌皮瓣、前臂游离皮瓣等各自的优缺点和适应症的选择。

Comprehension elevating stage Ⅱ of reparative quality on the postoperative coloboma of head-neck tumor

The experinces have been summarized that 89 cases with post-operative coloboma of headnecktumor have been stage Ⅰ repaired.Whether design of first time of treatment is reason-able guarantees stage Ⅰof repartive quality'The key of elevating stageⅠof reparative quality is to understandthe reparative methods wholly and to raise the reparative techniques continually.It has been discussed that various skin flaps,such as triangular subdermal pedicle flap, platysmal flap, sternocleidomastoid flap,infrahyoid musctes flap, tongue flap,palate nap, forehead flap,lenioid muscles flap locating in anterior cervical region,greater pectoral muscle flap,forearm free muscle flap and so on,possess advantages and shortages, and are chosen according to its indication.