1987 Volume 33 Issue 8 Pages 1514-1520
In the past 7 years reconstruction using various pedicle flaps and skin grafts for oral and maxillofacial defects was done to the following 53 patients; 15 pectoralis major myocutaneus, 15 deltopectoral and 2 scalp-forehead flaps for larger defects, and 2 sternocleidomastoid, 5 cervical island skin, 2 palatal and 2 lip flaps for moderate defects, and 10 skin grafts for superficial defects. As to results, most of the flaps used for the defects of soft tissue were able to repair their shape and satisfy these patients. However, recovery of functions concerning speech, swallowing or mastication was not always successful in the larger defects, especially after the econstruction for defects of tongue, floor of the mouth, cheek and mandible for which mandibular reconstruction was performed. It was pointed out as the main causes that less tongue mobility due to scar contracture after reconstruction and difficulty of mandibular reconstruction due to postoperative infection resulted.
Accumulated survival rates for 5 years after reconstruction for 50 patients with malignant tumor were as follows; 51.9 percent in 28 patients of pectoralis major myocutaneus and deltopectoral flaps, 61.0 percent in 12 patients of scalp-forehead, sternocleidomastoido, cervical island, palatal and lip flaps, and 100 percent in 10 patients of skin graft. The above survival rates indicated that 87.4 percent for 26 patients with primary tumor was superior to 46.1 percent for 24 ones with secondary tumor.
