日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
当科における各種有茎皮弁による口腔顎顔面再建術の検討
藤元 栄輔岡部 孝一松原 完也加藤 隆三仲井 雄一東野 純也沖野 善則田中 真也室木 俊美中新 敏彦中川 清昌山本 悦秀宮田 勝坂下 英明中尾 治郎
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1989 年 35 巻 4 号 p. 930-936

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In the past 6 years, from 1982 to 1987, 24 patients received reconstructive surgery using various pedicle flaps for oral and maxillofacial defects. Various flaps were utilized for reconstruction: 14 deltopectoral 5 pectoralis major myocutaneous and 2 forehead flaps for larger defects; and 7 cervical island skin and 4 sternocleidomastoid flaps for moderate defects. As to results, most of the flaps used for the repair of soft tissue enabled sufficient recovery of shape to satisfy these patients. However, recovery of speech and mastication function was not always reliable with these flaps, especially after reconstruction for defects of tongue or gum for which mandibular reconstruction was performed.
In this report, some problems which should be considered in oral and maxillofacial defect reconstruction are discussed.

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