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介绍1987年6月～1990年12月间,30例背阔肌瓣修复头颈部缺损的治疗经验。其中27例为头颈癌肿患者,另3例为头颈部严重外伤。修复部位:颅底手术后缺损8例;面、颈部大面积组织缺损5例;面中部缺损3例;颞颌关节及下颌缺损3例;气管食管瘘1例;全舌或次全舌重建10例。组织瓣类型:肌皮瓣22例;肌瓣4例;带血管骨肌皮瓣或骨肌瓣4例。30例中带蒂组织瓣20例,游离瓣10例。治疗结果:①30例中27例组织瓣存活,成功率为90%,3例失败均为舌重建患者,以胸大肌皮瓣再次修复而愈。②29例供皮区一期愈合,1例经裂层皮片移植后愈合;③7例舌重建成功者中,1例恢复经口正常饮食,6例可经口进糊状食
Introduction of the treatment of head and neck defects in 30 cases with latissimus dorsi flap during June 1987 to December 1990. 27 cases of head and neck cancer patients, and the other three cases of severe head and neck trauma. Repair site: skull base surgery in 8 cases of defect; face, neck large area tissue defect in 5 cases; facial midface defect in 3 cases; temporomandibular joint and mandibular defect in 3 cases; tracheal esophageal fistula in 1 case; whole tongue or subtotal tongue reconstruction 10 cases. Tissue flap type: muscle flap in 22 cases; muscle flap in 4 cases; with vascular myocutaneous flap or bone muscle flap in 4 cases. In 30 cases, there were 20 pedicle pedicles and 10 free pedicles. Treatment outcome: ①30 cases, 27 cases of tissue flap survived, the success rate was 90%, 3 cases of failure were tongue reconstruction in patients with pectoralis major flap repair and more. (2) 29 cases of donor area were healed in one period, and 1 case was healed by split-layer skin graft. (3) Of the 7 cases of successful tongue reconstruction, 1 case recovered normal oral diet,