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本文报告应用胸锁乳突肌皮瓣修复口腔颌面部肿瘤术后组织缺损21例,取得良好效果。其中用于良性肿瘤术后组织缺损者2例,其余均用于修复恶性肿瘤术后组织缺损。修复舌8例、口底6例、下颌区4例、颊3例。术后100％成活18例,75％以上成活2例,完全坏死1例。21例肌皮瓣之蒂均设计于乳突端。作者认为保留蒂部真皮,更有利于术后皮瓣的成活。
This article reports the application of sternocleidomastoid myocutaneous flap to repair 21 cases of oral and maxillofacial tumor tissue defects, and achieved good results. Among them, 2 cases were used for tissue defect after benign tumor, and the rest were used to repair the postoperative tissue defect of malignant tumor. 8 cases of tongue repair, 6 cases of mouth, jaw in 4 cases, 3 cases of buccal. Postoperative 100% survived in 18 cases, 75% survived in 2 cases, complete necrosis in 1 case. Twenty-one myocutaneous flaps were designed at the mastoid end. The authors believe that retaining the pedicle dermis, more conducive to survival of the flap.