胸大肌肌皮瓣在口腔颌面部缺损修复中的应用  

ABSTRACTPECTORALIS MAJOR MYOCUTANEOUS FLAP IN THE REP AIR OF ORO-FACIO-MAXIL-LARY DEFECTS

作　　者：温玉明[1] 唐休发[1] 王昌美[1] 陈亚多[1] 王晓毅[1] 

机构地区：[1]成都市华西医科大学口腔医学院

出　　处：《中国修复重建外科杂志》1995年第3期148-151,共4页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：报道２１９例口腔颌面部肿瘤，其中良性肿瘤１８例，恶性肿瘤２０１例，在肿瘤切除后，均采用胸大肌肌皮瓣修复缺损。采用单皮岛肌皮瓣２０１例，双皮岛肌皮瓣１６例，肌皮骨瓣２例。成功２０１例，失败１８例。讨论了胸大肌皮瓣的优点及适用范围。介绍了手术设计，操作方去。分析了成功与失败的影响因素，认为正确，精细的手术技巧是成功的关键因素。wo-hundred-nineteen oro-facio-maxillary tumours,18 benigns and 201 malignancies,wererepaired by pectoralis major myocutaneous ftaps following their resections. T he types of flapsused in the repair were:singic island myocutaneous ftaps in 201 cases,double-island myocuta-neous ftaps in 16 cases,and myocutaneous skeletal flaps in 2 cases.The results were susscessfulin 201 cases and failure in 18.he advantages and indications of using pectoralls major myocuta-neous flaps were discusse.The method of design and its relevent surgieal thechniques were in-troduced,and the factors responsible for the success and failure were analyzed.It is noted thatthe correct and meticulous operatiVe techniques were the main factors leading to operat ive suc-cess.

关 键 词：口腔颌面部缺损 修复术 胸大肌肌皮瓣 肿瘤 

分 类 号：R782.2[医药卫生—口腔医学]