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1980年10月至1984年8月,我们修复了口颊洞穿性缺损共16例。6例用前额皮瓣反褶或前额皮瓣加植皮,2例用胸大肌皮瓣反褶,1例用胸大肌皮瓣加植皮,7例同时使用2个皮瓣。结果13例完全成功,3例部分成功。 动脉蒂皮瓣的使用促进了口颊洞穿性缺损修复的发展。我们认为对其修复应因人而异:当缺损较小、病人年龄较大或伴有唇缺损时,使用前额皮瓣反褶或加植皮较好;当缺损较大,病灶感染严重或面部曾用大剂量放疗,同时使用两个皮瓣更为保险。对同时进行颈清扫病人以胸大肌皮瓣修复较适合。
From October 1980 to August 1984, we repaired 16 cases of chewing defects. Six patients were treated with forehead flap deconvolution or forehead flap plus skin grafting, 2 with pectoralis major myocutaneous flap decontamination, 1 with pectoralis major myocutaneous flap plus skin graft, and 7 with 2 flaps simultaneously. Results 13 cases were completely successful, 3 cases were partially successful. The use of arterial pedicle flaps promotes the development of repair of buccal perforating defects. We believe that its repair should vary from person to person: when the defect is small, the patient is older, or has a lip defect, it is better to use the forehead flap for anti-folding or skin grafting; when the defect is large, the lesion is seriously infected or the face has Using high-dose radiation therapy with two flaps is more secure. It is more appropriate to repair patients with pectoralis major myocutaneous flaps for neck cleaning at the same time.