Intraoral reconstruction with free radial forearm flap Clinical observations.

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概要

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• Free radial forearm flaps were employed in 16 cases for the reconstruction of orofacial defects. The patients, 12 males and four females, ranged in age from 43 years to 78 years. The primary sites were as follows: four cases in the tongue, four cases in the buccal mucosa, four cases in the oral floor, three cases in the pharyx, and one case in the lower gum. Histologically, 14 cases featured squamous cell carcinoma, one involved mucoepidermal carcinoma, and one adenoidocystic carcinoma. The post-operative course was uneventful in 14 cases and total necrosis of the flap was seen in two cases. These failures were due to venous thrombosis and arterial thrombosis. Thrombosis of the artery was thought to be caused by an inappropriate recipient artery used for arterial injection of 5-FU during induction chemotherapy, re-clamping of a vein immediately following anastomosis, and compression to an artery. Venous thrombosis was caused by arterial occlusion resulting from kinking or torsion of anastomosed vessels following closure of an incision.<BR>As it is thin and supple and has few limitations in terms of its size and shape, the radial forearm flap is suitable for repairing wide, though not bulky, defects. It also has a great advantage in its ability to treat defects that require mobility, such as the tongue and oral floor, as well as defects that have unique anatomical features, such as the buccal mucosa, retromolar region, and pharynx.

• 一般社団法人 日本口腔腫瘍学会の論文

一般社団法人 日本口腔腫瘍学会 | 論文

• 進行口腔癌に対する逆行性超選択的動注化学療法, 放射線同時併用療法後の救済手術
• TS-1による化学療法と温熱放射線療法が著効した後発頸部リンパ節転移の1例
• 手術シミュレーションに基づく腫瘍分割摘出により顎骨を保存した得た下顎骨骨形成線維腫の1例
• 口腔癌における化学・放射線療法後の再発・二次再建に関する外科療法の検討
• 下顎骨再建 : 血管柄付遊離骨移植と遊離軟部組織移植の比較

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