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目的 探讨以上端为胸锁蒂的乳突肌组织瓣在头颈肿瘤术区中型缺损的作用。方法 对６ 例应用胸锁乳突肌复合组织瓣修复头颈肿瘤术区缺损情况进行回顾性总结。６例病人中，１例为颞下窝肿瘤术区缺损的修复；３ 例修复腮腺颌后区缺损；１例对喉癌术区口咽侧壁修复；１例为对侧颈部术区缺损的修复。结果 ５例胸锁乳突肌肌瓣的修复全部存活，１ 例胸锁乳突肌肌皮瓣的修复为延迟性坏死。结论 该肌瓣／肌皮瓣在头颈肿瘤术区中型缺损的修复有其重要意义，尤对保留面神经的腮腺颌后缺损，颅底区及咽侧壁缺损的修复意义更加明显
Objective To investigate the role of the mitral pedicled mastoid musculature flap in the mid-range defect of head and neck surgery. Methods Six patients with sternocleidomastoid composite tissue flaps were retrospectively reviewed. Among the 6 patients, 1 was repair of the defect in the operation area of the infratemporal fossa tumor; 3 cases were repaired the defect of the parotid jaw area; 1 case was repaired to the oropharyngeal side wall of the laryngeal cancer area; 1 case was the contralateral neck area defect Repair. Results All 5 cases of sternocleidomastoid muscle flap repair survived, and 1 case of sternocleidomastoid myocutaneous flap repair was delayed necrosis. Conclusion The repair of this type of muscle flap/myocutaneous flap has important significance in the repair of the mid-sized defect in the head and neck tumor area, especially for the repair of parotid gland and mandibular defect, skull base area and pharyngeal wall defect.