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本文总结了应用带蒂胸大肌肌皮瓣修复口腔颌面部缺损、畸形20例的临床经验和教训。20例中肌肉蒂11例、血管蒂8例、肌皮蒂1例。结果16例完全存活,8例部分存活,1例坏死。皮瓣最大面积为10×14cm~2。文章详细叙述了皮瓣的制取要点,蒂的类别及适应症,蒂转移至头颈部的方式及肌皮瓣的固位。并对皮瓣坏死的原因及预防措施作了探讨。
This article summarizes the application of pedicle pectoralis major myocutaneous flap to repair oral and maxillofacial defects and deformities in 20 cases of clinical experience and lessons learned. In 20 cases, there were 11 cases of muscular pedicle, 8 cases of vascular pedicle and 1 case of myocutaneous pedicle. Results 16 patients survived completely, 8 patients survived partially and 1 patient died of necrosis. The largest flap area of 10 × 14cm ~ 2. The article describes in detail the preparation of the main points of flaps, pedicle types and indications, pedicle transfer to the head and neck and myocutaneous flap retention. The cause of flap necrosis and preventive measures were also discussed.