口腔颌面部良、恶性肿瘤切除术后组织缺损,运用各类带蒂或游离皮瓣移植术修复方法较多。我科自1982年以来采用前臂游离皮瓣移植作为颊部、齿龈、口底、下唇缺损的修复以及舌缺损再造共31例,取得满意效果。 临床资料 一、本组有男性25例,女性6例,年龄38～68岁。颊粘膜癌13例、舌癌7例、下牙龈癌5例、口底癌3例、下唇癌2例、下颌骨恶性造釉细胞瘤侵犯软组织1例。其中成活26例,部份成活1例,失败4例;成活率为87％。 Oral and maxillofacial benign and malignant tumor resection tissue defects, the use of various types of pedicle or free flap transplantation repair more. Our department since 1982 using forearm free flap transplantation as a cheek, gums, mouth bottom, lower lip defect repair and repair of tongue defects in a total of 31 cases, and achieved satisfactory results. Clinical data First, the group of 25 males and 6 females, aged 38 to 68 years. 13 cases of buccal mucosal cancer, 7 cases of tongue cancer, 5 cases of gingiva cancer, 3 cases of mouth cancer, 2 cases of lower lip cancer, 1 case of mandibular malignant ameloblastoma invading soft tissue. Among them, 26 survived, 1 survived and 4 failed. The survival rate was 87%.