顎口腔領域の再建に用いられた遊離皮弁の吻合血管の臨床的検討

概要

論文の詳細を見る
We analyzed 53 cases of microvascular anastomoses for free flap transfer in oral and maxillofacial reconstruction. The free flaps included 26 cases of rectus abdominis myocutaneous flap, 23 cases of radial forearm flap, and 4 cases of scapular flap. As for recipient vessels for anastomosis, the facial artery was used in 45% of the cases, and the transverse cervical artery was in 30%, while the external jugular vein and facial vein were used in 55% and 31% of our cases, respectively. The selection of the recipient vessels was dependent on the levels of neck dissection. The size discrepancies between the flap vessel and recipient vessel were found in 69% of rectus abdominis myocutaneous flap cases and 48% of radial forearm flap cases. Additionally, the thickening or dehiscence of intima as well as the low blood flow of recipient arteries were occasionally observed. Our success rate was 96%. It is safe and reliable to reconstruct oral and maxillofacial defects with free flap if the recipient vessels, whose size is different from that of the flap vessel, are carefully prepared.
福岡歯科大学学会の論文
2007-06-30