頭頸部癌の二次再建時における局所皮弁の活用

概要

論文の詳細を見る
Recently, for the deformity made by radical operation of head and neck cancer, early or simultaneous reconstruction is generally performed. But some patients may need repairs late. We reported 4 such eases, as follows: Case 1: We used the forehead flap to reconstruct the defect of the hard palate and anterior alveolus. Case 2: We also used the forehead flap to reconstruct a cheek defect from infection in the cheek after primary treatment. Case 3: We used the sternocleido-mastoid muscle flap and local lotation flap for a mandibular defect due to osteoradionecrosis. Case 4: We used the local rotation flap for a mandibular defect after a reoperation at the primary lesion. Postoperative conditions of all four flaps were excellent, so they were very useful for later repair as compared with D-P and PNTIVIC flaps.