頸部島状皮弁変法により即時再建を行った舌癌の1例

抄録

A woman, aged 56, had squamous cell carcinoma of the tongue and metastasis on the right side of her neck. After combination chemotherapy with vincristine, methotraxate, pepleomycin and mitomicin-C and radiation, the tongue tumor disappeared macroscopically but metastasis remained. So, immediate tongue reconstruction, with a modified cervical island skin flap, was performed after hemiglossectomy and radical neck disection. Partial necrosis (20% volumme) on the tip of the flap occured but the other survived well. This necrosis was caused by rotated neck of the flap under the mandible and a little longer flap.
The paciant has been asymptomatic for 30 months without serious disorder of tongue movement and other complications.