腭再造的关键在于分隔口鼻腔,再建正常的口鼻通道和保持腭咽闭合功能。作者介绍了经口腔进路切除肿瘤,用前臂皮瓣游离移植一期再造硬、软腭的手术方法和10个成功的病例。绝大多数病人恢复了正常的进食、语言和呼吸功能,维持了正常面形,二至四年的随访观察疗效满意。 The key to palate reconstruction is to divide the oral and nasal passages, to build normal oral and nasal passages and maintain velopharyngeal closure. The authors describe a surgical approach to the reconstruction of hard and soft palate with a free forearm flap and 10 successful cases of tumor removal via oral approach. The vast majority of patients returned to normal eating, speech and respiratory function, maintained a normal shape, two to four years follow-up observation of satisfactory results.