合併肩胸皮瓣及胸大肌肌皮瓣於口腔癌術後之重建－病例報告

The Combination of Deltopectoral Flap and Pectoralis Major Myocutaneous Flap in Oral Cancer Reconstruction - Two Case Reports

郭明忠(Ming-Zhong Guo) ； 陳萬宜(Maan-Yee Chen) ； 黃穰基(Yeung-Kee Wong)

《中華民國口腔顎面外科學會雜誌》 11卷2期 (2000/09) Pp. 81-91

https://doi.org/10.7104/CJOMS.200009.0081

摘要

本文彙集台中榮總口腔顎面外科近半年以來，因口腔癌接受切除手術治療後所留下來之口腔顎面大範圍缺損，而同時採用肩胸皮瓣與胸大肌肌皮瓣兩種皮瓣重建的兩位患者，作為表性之病例作一簡介。術後病患追蹤發現此皮瓣設計，無論在功能、美觀或是在手術過程中取皮瓣的方便性上都有很好的結果。

關鍵字

肩胸皮瓣 ； 胸大肌肌皮瓣

並列摘要

Immediate reconstruction of defects created by ablative resections was a major surgery in the treatment of patients with head and neck cancer in the latest 30 years. In situations in which both mucosal part and skin part were removed in tumor extirpation, the defect could be reconstructed by the combination of a PMMC flap for mucosal replacement and a DP flap for external skin replacement. We report two cases in which such large defect was repaired by the combination flap. Post-operatively, the result was satisfactory.

並列關鍵字

deltopectoral flap ； DPF ； pectoralis major myocutaneous flap ； PMMF