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目的：探讨带蒂全额皮瓣整复头颈部肿瘤术后组织缺损的可行性。方法：对１４例晚期头颈部肿瘤术后鼻面部、鼻咽部、软腭等部分组织缺损，取全额皮瓣予以整复，取瓣面积（５ｃｍ×１１ｃｍ）～（７ｃｍ×１６ｃｍ）。结果：皮瓣完全存活１２例，部分坏死２例，患者３年和５年生存率分别为７６．９％（１０／１３）和６３．６％（７／１１）。经鼻腔和口腔呼吸好，进食功能良好。结论：晚期头颈部肿瘤术后组织缺损应用全额皮瓣整复是一种较好的取材方法，修复面积大，存活率高
OBJECTIVE: To investigate the feasibility of reconstructing the tissue defect of the head and neck tumor with pedicle complete flap. METHODS: Fourteen patients with advanced head and neck neoplasms were treated with nasal flaps, nasopharynx, and soft palate. All flaps were removed and the flap area was taken from 5 cm×11 cm to 7 cm×16 cm. RESULTS: Flap survived completely in 12 cases and partial necrosis in 2 cases. The 3-year and 5-year survival rates were 76.9% (10/13) and 63.6% (7/11), respectively. Breathing through the nose and mouth is good, eating function is good. Conclusion: Full-thickness skin flap reconstruction after advanced head and neck neoplasms is a better way to obtain tissue defects. It has a large repair area and high survival rate.