A Case of Central Carcinoma of the Mandible Arising from a Recurrent Odontogenic Keratocyst : Delineation of Surgical Margins and Reconstruction with Bilateral Rectus Abdominis Myocutaneous Free Flaps
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概要
- 論文の詳細を見る
A case of central carcinoma of the mandible arising from a recurrent odontogenic keratocyst is reported. A 38-year-old man was admitted to the Tokai University Hospital due to postoperative infection of a recurrent odontogenic keratocyst of the left mandible. He had had a cystectomy for an odontogenic keratocyst 4 years ago. The lesion revealed bony destruction of the mandible with worm-eating shaped margins with extension to the facial skin. A biopsy specimen revealed squamous cell carcinoma. The mandible was resected with facial skin and the sublingual space was dissected to preserve the lingual nerve. The oral and the facial resections were reconstructed with a titanium plate and bilateral rectus abdominis myocutaneous free flaps. The plate was removed due to infection around the margins and readjustment of the flaps was conducted 5 months after the surgery. He has not had a local relapse, metastasis, or incisional hernia for 8 months following surgery. Good occlusion has been attained by the residual mandible, and he is able to eat without any problems.
- 東海大学の論文
著者
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Tsukinoki Keiichi
Department of Pathology, Kanagawa Dental College
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OTA Yoshihide
Departments of Oral Surgery Tokai University School of Medicine
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Ota Yoshihide
Department Of Oral Surgery School Of Medicine Tokai University
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Miyasaka Muneo
Department Of Plastic And Reconstructive Surgery Tokai University School Of Medicine
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Watanabe Daisuke
Department Of Dermatology Aichi Medical University School Of Medicine
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Karakida Kazunari
Department Of Oral And Maxillofacial Surgery Tokai University Hachioji Hospital
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Karakida Kazunari
Department Of Oral Surgery Tokai University Hachioji Hospital
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Tsukinoki Keiichi
Department Of Oral Pathology Kanagawa Dental College
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Watanabe Daisuke
Department Of Dermatology Aichi Medical University
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Watanabe Daisuke
Department Of Oral Surgery Tokai University School Of Medicine
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Ota Yoshihide
Department Of Oral And Maxillofacial Surgery Tokai University School Of Medicine
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Watanabe Daisuke
Department of Applied Physics, Graduate School of Engineering, Tohoku University, Aoba-yama 05, Aoba-ku, Sendai 980-8579, Japan
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Tsukinoki Keiichi
Department of Environmental Pathology and Research Institute of Salivary Gland Health Medicine, Kanagawa Dental College Postgraduate School
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TSUKINOKI Keiichi
Department of Diagnostic Science Division of Pathology, Kanagawa Dental College
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