口蓋島状皮弁による軟口蓋再建について

概要

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Rapidly advanced reconstructive flap surgery and maxillo-facial prosthesis in reent years has palyed a great role in oral cancer treatments, among them, D-P flap, pectoralis major myocutaneous flap and forchead flap are widely used and very effective for improving disturbed oral function. On the other hand, the use of these flaps may be hesitated against relatively small defects within oral cavity, in othere words, the avlative procedure itself may be limited to some extent by the mode of reconstructive operation expecially in benign lesions. From these standpoints, an easy, intermediate sized flap such as palatal flaps is considered to be useful for surgery against rather small malignancies and/or relatively large benign lesions i oral cavity. In this paper, two cases of soft palate reconstruction with vascular pedicled mucoperiosteal flap are presented, with the following conclusions thus obtained. 1) The vascular pedicled palatal mucoperiosteal flap is very useful for reconstructing defects of medium size (about 2.5×4 cm) in soft palate. 2) This flap is of axial pattern with abundant blood flow and very easy to prepare. 3) As compared to other flaps, this kind of flap produces no cosmetic or functional disturbances, resulting in a favorable seondary healing of donor site without any special treatment.
社団法人日本口腔外科学会の論文