Immediate reconstruction with free small intestinal transfer after radical operation of the malignant tumor of oral cavity.

概要

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Recent advances in the microsurgery have enabled to reconstruct a large defect of the oral cavity by a one-stage procedure.<BR>We reconstructed two patients with a free revascularized intestinal graft immediately after radical neck dissection and resection of oral malignant tumor.<BR>As the wall of the jejunum is soft, thin and pliable, it fitted nicely to any difficult intraoral defects.<BR>Postooperative functions were better than those obtained with conventional skin flap methods in terms of deglutition and speech.<BR>Provided the patients are carefully and critically selected the described procedure appeares to be a rational substitute for other reconstructive procedures, since in terms of function and cosmetic appearance, the results are highly satisfactory.
社団法人日本口腔外科学会の論文