口腔癌の血管柄付遊離皮弁再建症例における皮弁生着不良因子の検索 A clinical study of microsurgical reconstruction in oral cancer : Analysis of factors related to flap necrosis

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著者

    • 松永 和秀 MATSUNAGA Kazuhide
    • 近畿大学大学院医学研究科形成外科教室 Department of Plastic and Reconstructive Surgery, Kinki University, School of Medicine
    • 長田 哲次 NAGATA Tetsuji
    • 浜松医科大学医学部附属病院歯科口腔外科講座 Department of Oral and Maxillofacial Surgery, Hamamatsu University, School of Medicine
    • 磯貝 典孝 ISOGAI Noritaka
    • 近畿大学大学院医学研究科形成外科教室 Department of Plastic and Reconstructive Surgery, Kinki University, School of Medicine
    • 大部 一成 OOBU Kazunari
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野 Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyusyu University
    • 笹栗 正明 SASAGURI Masaaki
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野 Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyusyu University
    • 大石 正道 OHISHI Masamichi
    • 九州大学大学院歯学研究院口腔顎顔面病態学講座顎顔面腫瘍制御学分野 Section of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyusyu University

抄録

We studied patients who had flap necrosis after microsurgical reconstruction for orofacial defects. Among 64 patients, 5 had flap necrosis, resulting in a survival rate of 92.2%. All patients with flap necrosis underwent preoperative therapy. There was no significant difference in average age between patients with flap survival and those with flap necrosis; however, all patients with flap survival were younger than 50 years. The patients with flap necrosis had a significant decrease in postoperative pulse pressure, especially during the first and second postoperative days. Among the 5 patients with flap necrosis, 4 had a decrease in postoperative pulse pressure. Three patients concurrently had swelling in the submandibular and neck regions due to hematoma and underwent decompression procedures. On the basis of these results, we conclude that factors such as the postoperative pulse pressure and hematoma negatively affected flap blood flow.<BR>Early detection and elimination of these factors are considered essential.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 50(7), 434-437, 2004-07-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018619641
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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