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本文介绍颈阔肌肌皮瓣用于修复口腔粘膜缺损和唇颊部皮肤缺损共26例,就肌皮瓣切取类型与整复部位,一般资料与疗效以及优点等进行了讨论,最后认为颈阔肌肌皮瓣具有面积较大、肌薄质软、易于折转造型;位居表浅、接近面部、易于切取、供区不需植皮、简化了手术步骤,血液丰富,成活率高等优点,是修复口腔粘膜缺损应当首选的一个供区。但因肌瓣较薄,不适于凹陷性缺损的修复,对颈部有淋巴结转移,行根治性清扫术时,不宜采用。
This article describes the platysma flap used to repair the oral mucosa defects and lip and cheek skin defects in 26 cases, the myocutaneous flap type and the repair site, general information and efficacy and advantages are discussed, and finally that the wide Myocutaneous flap with a larger area, thin muscle soft, easy to change shape; located in superficial, close to the face, easy to cut for the area without skin grafting, simplifying the surgical procedures, blood rich, high survival rate is Repair of oral mucosal defects should be the preferred one for the area. However, due to thinner muscle flap, not suitable for repair of pitting defects, neck lymph node metastasis, radical radical mastectomy, should not be used.