关键词: 双岛胸大肌皮瓣, 头颈肿瘤, 重建

Abstract:

Objective   To evaluate the effectiveness and advantages of double islands pectoralis major myocutaneous flap in the reconstruction of defects after head and neck tumors’ excision. Methods   8 patients underwent  double islands pectoralis major myocutaneous flap reconstruction  after head and neck tumors were  removed.  Results   All  the reconstructed hypopharyngeal cavity were not narrow, and the neck skin were survived.  7 flaps were well survived, except one patient who suffered from  mild necrosis in the skin edge which was cured after treatment. The mean resumption of oral intake was 10 days (8-12) after surgery. Mean hospital stay was 16 days (14-20). Conclusion   Because of  excellent blood supply and abundant tissue, double islands pectoralis major myocutaneous flap is a preferred one-stage method to reconstrut the double defects, including  skin and mucosa, in head and neck tumor surgery.

Key words: Double islands pectoralis major myocutaneous flap, Head and neck tumor, Reconstruction