舌癌におけるMyocutaneous flapによる再建

概要

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A method of reconstruction for lingual carcinoma after 1/2 or 2/3 resection of the tongue was described on 10 cases. Myocutaneous flap of M. pectoralis major or M. sternocleidomastoideus was used for this study.As compared with the D-P flap which was used as the ordinal surgical operation, the method of myocutaneous flap was discussed on operative procedures, complications and post-operative functions. It was found that the method of myocutaneous flap was of great advantage to the follows;1) Defective portions in the oral cavity and or opharynx was constructed primarily.2) Transplantation of delay or free graft was not necessary.3) It was a good method to prevent of post-operative salivary fistula or to hasten its natural closing.4) As the floor of the oral cavity was kept in higher level, that disorders of speech or eating were reduced.
社団法人日本耳鼻咽喉科学会の論文