颈部原发皮肤恶性肿瘤或颈部淋巴结转移癌 ,在侵犯皮肤面积不大时 ,切除后可直接拉拢缝合 ,但如侵犯范围较大时 ,切除后可遗留皮肤缺损 ,甚至暴露颈部大血管 ,需要修复。我们自1995年～ 1999年应用带蒂肌皮瓣修复缺损区 ,共完成 5例 ,效果满意 ,现报告如下。1　临床资料男 4例 Neck primary malignant tumor or cervical lymph node metastasis. When the skin area is infringed, the suture can be directly pulled after resection. However, if the scope of violation is large, the skin defect can be left after the resection, and even the large vessels of the neck can be exposed. Need repair. We used the pedicle myocutaneous flap to repair the defect area from 1995 to 1999 and completed a total of 5 cases with satisfactory results. The report is as follows. 1 clinical data male 4