口腔癌切除後の欠損に対する頬脂肪体有茎移植術

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  • Repair of defects with a pedicled buccal fat pad graft after resection of oral carcinoma.

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A pedicled buccal fat pad graft was used for reconstruction after resection of oral carcinoma in 11 patients. There were oro-antral or oro-nasal communications (or both) in 6 patients. Three communications were closed completely with a pedicled buccal fat pad, while the others were closed partially. Epithelization of the buccal fat pad started during the first week after operation and was completed by the sixth week. In four patients, the buccal fat pad was covered with a free graft of partial thickness skin or with lyophilized porcine dermis. However, there were no differences in epithelization between the covered cases and the uncovered cases.<BR>Although a buccal fat pad can be used to repair only small defects, it is a simple, useful procedure for reconstruction in patients with various tissue defects.

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