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目的探讨颈阔肌肌皮瓣修复颌面部肿瘤术后软组织缺损的方法及可行性。方法2004年5月2008年6月,应用颈阔肌肌皮瓣修复舌、口底、颊、喉及软腭缺损8例。其中男6例,女2例,年龄43～67岁,颊癌3例,舌下腺腺样囊性癌1例,舌癌1例,口底癌1例,喉癌1例及牙龈癌1例。均行病变及颈淋巴根治性切除。缺损范围2.5cm×3.5cm～6.0cm×4.5cm,应用颈阔肌皮瓣修复软组织缺损,皮瓣范围6.0cm×3.5cm～12.0cm×4.0cm。结果术后8例皮瓣均成活,肌皮瓣色泽与皮肤相似外形无异常,张口不受限。随访3～48个月,无舌运动受限,张口受限等并发症,肿瘤无复发,患者对术后形态及功能均较满意。结论颈阔肌皮瓣血运丰富,抗感染力较强,成活率高,是修复颌面部软组织缺损行之有效的一种方法。
Objective To investigate the feasibility and feasibility of platysma myocutaneous flap for repairing soft tissue defects of maxillofacial tumors. Methods In May 2004, June 2008, 8 cases of tongue, mouth bottom, cheek, throat and soft palate defect were repaired with platysma flap. Including 6 males and 2 females, aged 43 to 67 years old, 3 cases of buccal cancer, subacute adenoid cystic carcinoma in 1 case, tongue cancer in 1 case, mouth cancer in 1 case, laryngeal cancer in 1 case and gingival cancer 1 example. All lesions and radical resection of cervical lymph nodes. The range of defect was 2.5cm × 3.5cm ~ 6.0cm × 4.5cm. The flap of the platysma flap was used to repair the soft tissue defect. The flap ranged from 6.0cm × 3.5cm to 12.0cm × 4.0cm. Results All the 8 flaps survived. There was no abnormality in the color and skin shape of myocutaneous flap, and the mouth was not limited. All the patients were followed up for 3 ~ 48 months. There were no complications such as restricted movement of the tongue and limited mouth opening. The tumor did not recur and the patients were satisfied with the morphology and function. Conclusions The platysma flap is rich in blood supply, strong anti-infective ability and high survival rate. It is an effective method to repair soft tissue defects in maxillofacial region.