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本文叙述了7种颊粘膜恶性肿瘤术后立即一期修复缺损的方法,并从我们近二年来治疗14例患者的体会,比较了各种术式的优缺点。认为术式的选择要决定于缺损的具体情况。小面积颊粘膜缺损用游离中厚皮片移植或舌瓣修复较为合适;单纯颊粘膜缺损用额部隧道皮瓣为首选;颊粘膜带肌层缺损用胸大肌肌皮瓣修复较为理想;洞穿性缺损用复合皮瓣修复。
This article describes seven kinds of buccal mucosal malignancies immediately after the repair of a defect, and from our experience in the past two years to treat 14 patients, compared the advantages and disadvantages of various surgical procedures. That surgery depends on the choice of the specific circumstances of the defect. Small area of buccal mucosal defects with free medium thick skin grafts or flap repair is more appropriate; simple buccal mucosa defect forehead tunnel flap is preferred; buccal mucosa with muscular layer pectoralis major muscle flap repair is more ideal; Defect with composite flap repair.