Facial artery musculomucosal flap を用いた赤唇再建の1例 A case of vermilion reconstruction using a facial artery musculomucosal flap

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著者

    • 岩井 俊憲 IWAI Toshinori
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学 Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine
    • 松井 義郎 MATSUI Yoshiro
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学 Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine
    • 青木 伸二郎 AOKI Shinjiro
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学 Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine
    • 藤内 祝 TOHNAI Iwai
    • 横浜市立大学大学院医学研究科顎顔面口腔機能制御学 Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine

抄録

Facial artery musculomucosal (FAMM) flaps are musculomucosal flaps based on the facial artery. These flaps consist of mucosa, submucosa, a small amount of buccinator muscle, the deeper plane of the orbicularis oris muscle, the facial artery, and the venous plexus. We describe the use of a FAMM flap for the repair of a vermilion defect after resection of a lower lip carcinoma.<BR>A 62-year-old man with an ulcer and mass of the lower lip was referred to our hospital. The pathological diagnosis was squamous cell carcinoma. He underwent tumor resection and vermilion reconstruction using an FAMM flap. We identified the facial artery by Doppler ultrasound. The FAMM flap was designed superiorly to Stensen's duct. The flap was elevated and rotated inferiorly. Then, the defect of the vermilion was covered. The donor site was closed primarily. Although the tip of the FAMM flap underwent partial necrosis postoperatively, the flap survived after conservative treatment.<BR>An FAMM flap is useful for repairing defects in the vermilion, although only a flap of limited size can be harvested.

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 52(12), 748-751, 2006-12-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018858873
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    8624818
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  CJP引用  NDL  J-STAGE 
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