Price J C, Davis R K
Arch Otolaryngol. 1984 Jan;110(1):35-40. doi: 10.1001/archotol.1984.00800270039011.
During the past 2 1/2 years, we have used 21 deltopectoral (DP) and 25 pectoralis major myocutaneous (PM) flaps of which 25 were applied to oral and pharyngeal defects. The concurrent use of both flaps has enabled elucidation of some specific and relative advantages and disadvantages. The following five situations have been identified in which we believe the PM flap is clearly superior: (1) lateral mandibular composite resection defects; (2) large anterior segmental defects; (3) reconstitution of tongue and base of tongue; (4) radionecrosis; and (5) through-and-through defects of skin and oral cavity. The DP flap appears to hold an advantage in the repair of the following defects: (1) limited anterior mandibular loss; (2) posterior and lateral pharyngeal loss; (3) complex resections involving the palate; and (4) cervicofacial skin. The unique advantages of each flap must be weighed against certain disadvantages. Application to each reconstructive problem should be individualized. Proficiency with both flaps enhances the surgeon's ability to deal with major ablative procedures.
在过去的两年半时间里，我们使用了21块三角胸肌（DP）皮瓣和25块胸大肌肌皮（PM）皮瓣，其中25块用于修复口腔和咽部缺损。同时使用这两种皮瓣能够明确一些特定的、相对的优缺点。我们确定了以下五种情况，认为PM皮瓣明显更具优势：（1）下颌骨外侧复合切除缺损；（2）前节段大缺损；（3）舌及舌根重建；（4）放射性坏死；（5）皮肤和口腔贯通性缺损。DP皮瓣在修复以下缺损方面似乎具有优势：（1）下颌骨前部局限性缺损；（2）咽后部和外侧缺损；（3）涉及腭部的复杂切除；（4）颈面部皮肤。每种皮瓣的独特优势必须与某些缺点相权衡。针对每个重建问题的应用都应个体化。熟练掌握这两种皮瓣可提高外科医生处理大型切除手术的能力。
