| 1. | Such a cheek defect confronts the otolaryngologist with the problem of reconstruction
本文提出5个接受广泛切除后再行重建的颊癌病例，并比较各种重建方法的优缺点。 |
| 2. | Following wide excision of the tumor , a huge defect of the anterior chest wall , about 30 20 cm in size , was resulted
经肿瘤及乳房皮肤广泛切除后，产生一30 20平方公分巨大面积的前胸壁缺损。 |
| 3. | Restoration of the mandibular continuity and cosmetically acceptable appearance continue to present challenge to the plastic surgeon
下颔骨软骨肉瘤在广泛切除之后，不论是颜面外观或是功能上的改善都是整形外科极具挑战性的工作。 |
| 4. | Wide resection of advanced breast cancer usually results in extended defect of the anterior chest wall and finding an appropriate soft - tissue to close such defect is still a difficult task
摘要晚期乳癌经广泛切除术后常造成前胸壁大面积缺损，而移植软组织来覆盖此缺损仍十分困难。 |
| 5. | This information was important for pre - operative planning and allowed one step extensive surgery which called for the collaboration of the pathologist , urologist and colorectal surgeon
这些资料对术前计划十分重要，在病理医师，泌尿外科及大直肠外科医师们通力合作下，广泛切除外科治疗可一次完成，避免贰次手术之苦。 |
| 6. | We present five cases , one was reconstructed with forehead flap , one with forearm free flap , two with pectoralis major myocutaneous ( pmmc ) flap , and one with pmmc flap followed by latissimus dorsi myocutaneous free flap
这些方法分别使用前额皮瓣（ 1例） ，游离皮瓣（ 2例） ，胸大肌皮瓣（ 3例） ，其中1例则是先行使用胸大肌皮瓣，但重建后不幸再发，最后再经广泛切除后，再行背阔肌游离皮瓣重建。 |
| 7. | Conclusion ( 1 ) depending on location ， size and invading extension of the tumor ， above different approaches are adapted selectively which can provide excellent exposure and allow for an aggressive resection of the tumor . ( 2 ) the tumor tissue of the cavenous sinus and foramen lacerum is resected carefully by microsurgery . ( 3 ) the dural deficiecy must be repaired and sutured tightly to avoid craniocerebral fluid leak
结论（ 1 ）前或和中颅凹底内外沟通性肿瘤应根据肿瘤大小、位置及侵犯范围选择颅面联合入路、额颞-颞下窝入路或额颞-颞下窝入路结合面前径路即可给于充分暴露并能在直视下广泛切除肿瘤； （ 2 ）中颅凹底侵及海绵窦和破裂孔部的肿瘤应在较高放大倍数手术显微镜下仔细分离切除； （ 3 ）硬膜的严密修复是避免脑脊液漏及颅内感染的重要关键。 |
