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目的 :探讨前臂皮瓣在耳鼻咽喉 头颈外科头颈部恶性肿瘤手术中的应用。方法 :对 6例咽喉部肿瘤切除后软组织缺损的病例 ,通常采用前臂皮瓣修复 ,即将皮瓣的桡动脉、头静脉与甲状腺上动脉和面静脉分别端端显微吻合 ,Ⅰ期修复组织缺损。结果 :修复成功 4例 ,失败 2例。结论 :前臂皮瓣具有血管表浅 ,行程稳定 ,口径粗 ,血管长 ,前臂皮肤薄、软、皮下脂肪少 ,具可塑性 ,可折叠等优点。经临床应用证实 ,前臂皮瓣修复是一种灵活多用 ,技术完善的头面、咽部及口底缺损修复的手段
Objective: To investigate the application of forearm flap in the surgery of head and neck malignant tumors of otolaryngology and head and neck surgery. Methods: Six cases of soft tissue defect after pharyngeal resection of the throat were treated by forearm flap repair. The radial artery, the cephalic vein and the superior thyroid artery and vena cava, . Results: 4 cases were successfully repaired and 2 cases failed. Conclusion: The forearm flap has the advantages of superficial blood vessels, stable stroke, thick caliber, long vessel length, thin forearm skin, less soft and subcutaneous fat, plasticity and foldability. The clinical application confirmed that forearm flap repair is a flexible and versatile, well-established head and face and mouth defect repair means