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1986年以来,我们采用面颈旋转皮瓣加胸锁乳突肌岛状皮瓣即时修复7例颊癌切除术后面颊洞穿性缺损。效果满意,现报告如下。临床资料本组7例均确诊为颊部鳞癌,肿瘤都穿透面颊皮肤。其中男性5例,女性2例。年龄45～61岁。肿瘤分期2例为T_4N_(16)M_0,5例为T_4N_0M_0。面部皮肤缺损最大6cm×4.5cm,颊部缺损最大7.5cm×6cm。除一例胸锁乳突肌岛状皮瓣边缘有1cm×1cm坏死外,共余皮瓣全部成活。面部皮肤缺损都采用面颈旋转皮瓣修复,颊部缺损用胸锁乳突肌岛状皮瓣修复。皮瓣的设计与手术方法一、面颈瓣的设计与手术方法:在口角旁或口角外作切口,沿颏旁向颌下延伸,在颌下4～5
Since 1986, we have used facial skin neck rotation flap and sternocleidomastoid island flap to repair cheek penetrating defect immediately after resection of the buccal cavity in seven patients. Satisfactory results, are as follows. Clinical data The group of 7 cases were diagnosed as buccal squamous cell carcinoma, the tumor has penetrated the cheek skin. Including 5 males and 2 females. Age 45 ~ 61 years old. 2 cases of tumor staging T_4N_ (16) M_0, 5 cases of T_4N_0M_0. Facial skin defects up to 6cm × 4.5cm, the largest cheek defect 7.5cm × 6cm. In addition to a case of sternocleidomastoid island flap edge 1cm × 1cm necrosis, the remaining flap all survived. Facial skin defects were treated with face and neck rotation flap repair, cheek defect with sternoclavicular island flap repair. Flap design and surgical methods First, the face and neck flap design and surgical methods: in the mouth next to the mouth or mouth outside the incision, along the mandibular extending to the submandibular, submandibular 4-5