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胸锁乳突肌和肌皮瓣用于头颈部癌术后组织缺损的修复尚有争论。作者自1980年1月到1989年8月期间,利用胸锁乳突肌和肌皮瓣对18例患者进行修复手术。其中6例用肌瓣,9例用肌皮瓣,3例用复合瓣。单独的肌瓣既用于填补肿瘤术后的组织缺损,也可对咽瘘一次手术闭合后的前咽壁提供额外的支持。岛状肌皮瓣用来关闭咽瘘。所有3例复合瓣都用于中耳和外听道癌患者的全颞骨切除术后缺损的修复。结果显示,尽管其中3例术前接受了足量的放射治疗,所有6例肌瓣修复手术都是成功的。岛状肌皮瓣用未经放疗的患者获得成功,
Sternocleidomastoid muscle and myocutaneous flap for the repair of tissue defects after head and neck cancer surgery is still controversial. From January 1980 to August 1989, the authors used sternocleidomastoid and myocutaneous flaps to repair 18 patients. Of these, 6 were muscle flaps, 9 were myocutaneous flaps and 3 were composite flaps. A single muscle flap is not only used to fill the tissue defect after tumor surgery, but it can also provide additional support for the anterior pharyngeal wall after a surgical closure of the pharyngeal fistula. Island myocutaneous flap used to close the pharyngeal fistula. All three composite valves were used for repair of total temporal bone resection in patients with middle and external auditory canal cancer. The results showed that all 6 cases of myocutaneous repair were successful, although 3 of them received adequate radiotherapy preoperatively. Island myocutaneous flap with the success of patients without radiotherapy,