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《Guide of China Medicine》 2012-11
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The Clinical Analysis of Wide Pedicled Pectoralis Major Flap in Head and Neck Tumor Resection Defects in 39 Cases

YANG Rui-min(Department of ENT,Langfang People's Hospital,Langfang 065000,China)  
Objective To compare the effectiveness of using width of the pedicle of pectoralis major flap to repair the tissue loss after head and neck cancer surgery,and expect to get some references and good ideas to improve the survival rate of pectoralis major flap in the clinical work.Methods From March,2010 to August,2011,B.P.Koirala Memorial Cancer Hospital in Nepal Otolaryngology-Head and Neck Surgery,39 cases of tissue loss after head and neck surgery underwent one-stage surgical repairs with wide pedicle of pectoralis major muscle flap,28 males and 11 females,aged from 30 to 83 years old.Among them,11 cases of mandibular squamous cell carcinoma,9 cases of squamous cell carcinoma of buccal mucosa,13 cases of floor of mouth squamous cell carcinoma,6 cases tongue squamous cell carcinoma.Results 38 cases of pectoralis major flaps survived completely,1 case of pectoralis major flap partly survived.Conclusion Using the width of the pedicle of pectoralis major muscle flap to repair the tissue loss after head and neck cancer surgery can effectively avoid the damage to the variants veins of the pectoralis major flap,and have effective prevention of reverse and tear-off of the pedicle of pectoralis major flap,and has certain reference values as to improve the survival rate of pectoralis major flap.
【CateGory Index】: R739.91
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