Lam K H, Wei W I, Siu K F
Plast Reconstr Surg. 1984 Jun;73(6):904-10. doi: 10.1097/00006534-198406000-00008.
In this paper we present a series of 14 pectoralis major costomyocutaneous flaps employed on patients who required mandibulectomy for oral tumors. Experience with this previously described technique is analyzed and its complications are presented. Although the pectoralis major muscle does not originate from the ribs, there appears to be enough blood supply by means of the delicate areolar connections and the periosteum to sustain the costal segment. In an attempt to improve the blood supply by means of the perichondrium, we have included a portion of the costal cartilage. In our series there were three failures resulting probably from technical errors. Apart from these, the results were satisfactory. However, the use of this procedure is relatively recent, and its long-term results are unknown at the moment.
在本文中，我们介绍了一系列应用于因口腔肿瘤而行下颌骨切除术患者的14块胸大肌肋部肌皮瓣。对这种先前描述的技术的经验进行了分析，并阐述了其并发症。尽管胸大肌并非起源于肋骨，但通过精细的乳晕连接和骨膜似乎有足够的血液供应来维持肋部节段。为了通过软骨膜改善血液供应，我们纳入了一部分肋软骨。在我们的系列病例中，有3例失败可能是由于技术失误。除此之外，结果令人满意。然而，该手术的应用相对较新，目前其长期效果尚不清楚。
