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目的探讨复发性口腔癌手术后口腔颌面部软组织缺损修复的理想方法。方法对6例复发性口腔鳞状细胞癌患者(舌、口底和颊部各2例)手术治疗,缺损区同期用延长下斜方肌岛状肌皮瓣修复。结果全部皮瓣成活,供区创口一期愈合,无肩臂运动功能障碍。经追踪观察,最长存活30个月,最短13个月,平均生存期为22·6个月。结论延长下斜方肌岛状肌皮瓣制作较简单,设计和转移灵活且皮瓣足够大,可作为复发肿瘤手术后大范围软组织缺损的修复材料。
Objective To investigate the ideal method of repairing soft tissue defect in oral and maxillofacial region after recurrent oral cancer operation. Methods Six cases of recurrent oral squamous cell carcinoma (tongue, floor and buccal 2 patients) were surgically treated. The defect area was repaired with prolonged trapezius myocutaneous myocutaneous flap. Results All the flaps survived, and wound healing in the district was completed without any shoulder-arm dysfunction. After follow-up observation, the longest survival of 30 months, the shortest 13 months, the average survival period was 22.6 months. Conclusions The extension of the trapezius myocutaneous flap is simple, flexible in design and transfer, and the flap is large enough to be used as a repair material for extensive soft tissue defects after recurrent tumor surgery.