头颈部肿瘤切除后缺损由于有功能和外观的要求,往往需要即刻修复,目前可供选择的有游离皮瓣和各种带蒂组织瓣。游离皮瓣需要吻合血管,耗时较长,不适合高龄患者;带蒂组织瓣中颏下岛状皮瓣血管蒂恒定,皮瓣色泽近似,厚薄适中,逐渐成为修复颌面部缺损不错的选择。我们自2009年始,采用该皮瓣修复面部、舌、颊部缺损,获得良好的效果,取得一定的经验和教训,现总结如下。 Head and neck cancer after resection of the defect due to functional and appearance requirements, often need immediate repair, the current available free flap and various pedicle flap tissue. Free flaps require anastomosing blood vessels, which takes a long time and is not suitable for elderly patients. Pediatric pedicle flap in the submental island flap constant pedicle flap, flap approximate color, moderate thickness, and gradually become a good choice for the repair of maxillofacial defects . Since the beginning of 2009, we have used this flap to repair the facial, tongue and cheek defects and achieved good results. We have gained some experience and lessons, and are summarized as follows.