Handa Y, Kitajima T, Takagi N, Yasuoka T, Naitoh K, Tatematsu N, Oka N
Dept. of Oral-Maxillofacial Surgery and Stomatology, Shizuoka Saiseikai Hospital, Japan.
J Craniomaxillofac Surg. 1989 Oct;17(7):318-22. doi: 10.1016/s1010-5182(89)80061-7.
The present study was performed to demonstrate and evaluate the effectiveness of the Platysma Myocutaneous Flap in conjunction with MacFee's cervical incision (MacFee, 1960) for reconstruction after oral cancer excision. Ten squamous cell carcinoma cases were provided for postoperative evaluation of tongue movement and aesthetic problems of the cervical skin. It was found that the thickness of the skin island was adequate for covering the oral defects and was not a hindrance to proper postoperative function. MacFee's incision improved the condition of the scar caused by flap elevation. The procedure for preparing the muscle pedicle beneath the cervical skin tunnel was carried out without much difficulty by carefully preparing the surgical field.
本研究旨在证明和评估颈阔肌肌皮瓣联合麦克菲颈部切口（麦克菲，1960年）在口腔癌切除术后重建中的有效性。提供了10例鳞状细胞癌病例，用于术后评估舌运动和颈部皮肤的美学问题。结果发现，皮岛厚度足以覆盖口腔缺损，且不会妨碍术后正常功能。麦克菲切口改善了皮瓣掀起引起的瘢痕情况。通过仔细准备手术区域，在颈部皮肤隧道下方制备肌蒂的操作没有太大困难。
