Reconstruction using deltopectoral flap for the oro-facial defects: results of long-term observation.:results of long-term observation

概要

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Reconstruction using deltopectoral flaps was performed in 21 oromaxillo-facial defects after resection of 20 malignant tumors and 1 osteomyelitis of the mandible in the Dental Clinic of Iwate Medical University during the 12 year period from 1978 to 1989. The majority of reconstructions were immediately performed in the lower oro-facial defects and secondary achieved after delay in the upper cheek defects.<BR>In 20 patients with malignant tumors an accumulative survival rate from 5 to 10 years was 47.8 percent. The survival rate was superior as 66.7 percent in 8 primary patients compared to 34.6 percent in 12 secondary ones. Among the 20 patiens with malignant tumors 3 cases died of local tumors and 5 cases of distal metastases. Coloring between the skin flap and the surrounding tissue became suitable during the 2 to 3 years period after reconstructions. Aged patients especially, were satisfied with results of their reconstructive surgery.
社団法人日本口腔外科学会の論文