Reconstruction of oral defect using pedicled latissimus dorsi myocutaneous flap following excision of oral cancers.

概要

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Eight oral cancer cases who were reconstructed by pedicled latissimus dorsi myocutaneous flap following excision of tumors in our department were assessed retrospectively. Of these cases, 2 were untreated advanced cancers and others were recurrent or treated in other hospitals previously, 3 tongues, 2 buccal mucosas, 1 floor of the mouth, 1 maxilla and 1 neck. Depending on these primary sites, all cases were squamous cell carcinomas histopathologically. 4 cases were reconstructed by combination with other major flaps such delto-pectoral flap, trapezius myocutaneous flap, pectoral major myocutaneous flap and iliac osteomyocutaneous free flap for both oral and extra-oral defects simultaneously. The maximum size of the skin paddle was 22×10 cm. No necrosis in 5 cases (5/8), partial necrosis in 2 cases and total necrosis in one case were fallen, and 2 recurrences happened postoperatively. This kind of flap is very useful from the cosmetic view point for females, being able to obtain the largest size of skin paddle among all pedicled type of flaps for the head and neck region and possible to combine with other major flaps if necessary.
特定非営利活動法人日本口腔科学会の論文