顎顔面補綴
Online ISSN : 2435-0389
Print ISSN : 0389-4045
総説
上顎部切除後の再建はどのような症例に必要か?
山下 徹郎栃原 義之上田 倫弘林 信浅香 雄一郎石山 司細川 周一久保 雄二滝本 紘佑中嶋 頼俊
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2011 年 34 巻 2 号 p. 43-46

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There were 109 cases of maxillary deficiency associated with malignant tumor resection between July 1988 and December 2010. We examined the collaboration between reconstruction and maxillary prosthetics. Among these cases, 1) 58 were of maxillary prosthesis alone, 2) 35 of reconstruction and maxillary prosthetics, and 3) 16 of reconstruction alone. With regard to reconstruction, there were 23 cases of rectus-abdominis muscle flap, 8 of anterolateral thigh flap, 7 of forearm flap, 1 of latissimus dorsi muscle flap, 1 of parascapular skin flap, 7 of combined latissimus dorsi scapular bone flap, 7 of scapula and 1 of D-P flap. Two flaps were used in 2 cases, and 3 in 1. Bone reconstructions for alveolar and palatal were performed in 14 cases. Prosthetic implants were used in 4 maxillary denture cases. Relatively satisfactory results were obtained through functional evaluations, which included bite force by Dental Prescale, Sato’s scoring of chewing, and interviews.

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© 2011 一般社団法人日本顎顔面補綴学会
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