面颌颈及胸部各种原因所致的深度创面，一期修复均较为困难。１９８９年１１月～１９９６年４月，采用胸大肌肌皮瓣或胸大肌岛状肌瓣移位修复１１例，其中肌皮瓣８例，肌瓣３例，面积１２ｃｍ×８ｃｍ～２６ｃｍ×１８ｃｍ。术后创面Ⅰ期愈合１０例，１例创面轻度感染，换药治愈。详细介绍了手术方法和手术要点，讨论了胸大肌肌皮瓣移位对此类创面修复的优越性。 Facial jaw neck and chest caused by various reasons, the depth of the wound, a repair are more difficult. From November 1989 to April 1996, 11 cases of pectoralis major myocutaneous flap or pectoralis major muscle island flap were transplanted, including 8 cases of myocutaneous flaps and 3 cases of myocutaneous flap with an area of ​​12cm × 8cm ~ 26cm × 18cm. Postoperative wound healing in 10 cases, 1 case of mild infection, dressing cure. Described in detail the surgical methods and surgical points, discusses the pectoralis major myocutaneous flap for the superiority of such wound repair.