島状広背筋皮弁による舌再建術について

概要

論文の詳細を見る
In clinical experience with six cases, we reported the use of latissimus dorsi myocutaneous flaps for the repair of the defect following extensive resection of the mouth and pharynx. The latissimus dorsi myocutaneous island flap was raise and passed into the neck thnough the tunnel which was created under the pectoralis major muscle, then to the defect under the neck skin and mandible. The flap was good enough to close through-and-through the defect of the oral cavity and pharynx. Reconstructions were done is one stage procedure without delay. In all six cases, the flap did not show any circulatory complication, and proved its remarkable vascularity. The flap can provide a large bulk of tissue for the defect. We consider that the flap is very reliable and versatile for the xepaix of the defect after major resection of the mouth and pharynx.