双岛胸大肌皮瓣在头颈肿瘤切除、重建术中的应用

目的 探讨双岛胸大肌皮瓣在头颈肿瘤术后组织缺损修复重建应用的效果及优点。方法 应用双岛胸大肌皮瓣，对头颈肿瘤术后组织缺损的8例患者进行修复重建。结果 重建后的咽腔无狭窄，颈部皮肤均成活。皮瓣I期愈合7例；皮瓣重建颈部皮肤面边缘轻度坏死1例，经处理后愈合。患者于术后8～12d(平均10d)开始进食；术后14～20d(平均16d)出院。结论 双岛胸大肌皮瓣血供丰富，组织量多，是同时修复头颈肿瘤术后皮肤、黏膜双重缺损的优选方法。

Application of double islands pectoralis major myocutaneous flap in reconstruction of head and neck tumor surgery

Objective To evaluate the effectiveness and advantages of double islands pectoralis major myocutaneous flap in the reconstruction of defects after head and neck tumors’ excision. Methods 8 patients underwent double islands pectoralis major myocutaneous flap reconstruction after head and neck tumors were removed. Results All the reconstructed hypopharyngeal cavity were not narrow, and the neck skin were survived. 7 flaps were well survived, except one patient who suffered from mild necrosis in the skin edge which was cured after treatment. The mean resumption of oral intake was 10 days (8-12) after surgery. Mean hospital stay was 16 days (14-20). Conclusion Because of excellent blood supply and abundant tissue, double islands pectoralis major myocutaneous flap is a preferred one-stage method to reconstrut the double defects, including skin and mucosa, in head and neck tumor surgery.