重庆医学Issue(35)：4279-4280,2.DOI:10.3969/j.issn.1671-8348.2013.35.018
带蒂岛状胸大肌肌皮瓣在头颈恶性肿瘤术后缺损修复重建中的应用研究
The clinical application research on the island pedicled pectoralis major muscle flap in repairing of the tissue defects after the operation of head and neck malignant tumors
李真华 1葛家华 1吴剑 1叶果 1张玉莲 1黄闯 1周晓红1
作者信息
摘要
Abstract
Objective To investigate the primary repair methods and efficacy of island pedicled pectoralis major muscle flap in soft tissue defect after the operation of head and neck malignant tumors .Methods From April 2011 to September 2012 ,27 patients from this hospital who underwent primary repair using island pedicled pectoralis major muscle flap after a head and neck extensive soft tissue defect were investigated ,including 11 cases of tongue cancer defect ,2 cases of parotid gland defect ,3 cases of gum cancer defect ,2 cases of oropharyngeal cancer defect ,9 cases of floor of the mouth cancer defect .Results 27 patients were safety in periop-erative ,27 cases of island pectoralis major muscle flap survived ,patients were satisfied with both the appearance and function .There was postoperative neck hematoma in 1 patient ,it was eliminated through timely remove the hematoma and hemostasis completely ;There was 1 case of removing the epidermal necrolysis skin as flap necrosis ,while it was acceptable efficacy as the muscle flap sur-vival and surface granulation repaired .Conclusion Island pectoralis major muscle flap obtains unique advantages in repairing a large area of soft tissue defect in head and neck cancer patients after operation ,such as abundant of tissue ,a constant arterial anatomy of thoracoacromial ,easy to operate ,rich blood supply ,strong resistance to infection ,high survival rate and so on .A fine surgery opera-tion is the key of island pectoralis major muscle flap survival .关键词
头颈部肿瘤/外科/皮瓣/胸肌/修复外科手术Key words
head and neck neoplasms/surgical flaps/pectoralis muscles/reconstructive surgical procedures引用本文复制引用
李真华,葛家华,吴剑,叶果,张玉莲,黄闯,周晓红..带蒂岛状胸大肌肌皮瓣在头颈恶性肿瘤术后缺损修复重建中的应用研究[J].重庆医学,2013,(35):4279-4280,2.
