口腔癌切除後の外科的再建部ヘオッセオインテグレーテッドインプラントを応用した3例

―インプラント周囲の外科的再建組織の処理法に関する考察―

抄録

Recently, various reconstructive surgical techniques have been developed, including use of cutaneous flaps, myocutaneous flaps, and free tissue transplantations using microvascular anastomoses. Due to the progress in these reconstructive methods, ablative surgery can be applied in the case of advanced oral cancer in which the defect is too extensive to be reconstructed with local flaps. These reconstructive tissues greatly contribute to recovery of postoperative ugly or and functional disorders, including swallowing and pronunciation. However, these tissues sometimes prevent the wearing of dentures. In such cases, osseointegrated implant rehabilitation is an accepted and widespread treatment modality.
Three oral cancer patients who were treated with osseointegrated implants following ablative surgery and reconstructive surgery were reported, and our method for surgical reconstructive soft tissue management was presented.