舌半側切除後に必要な再建とは―遊離前腕皮弁と遊離腹直筋皮弁との比較から

DOI 被引用文献3件 参考文献17件

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タイトル別名
  • POSTOPERATIVE EVALUATIONS IN PATIENTS WITH RECONSTRUCTION USING RECTUS ABDOMINIS MUSCULOCUTANEOUS FLAP OR RADIAL FOREARM FLAP AFTER HEMIGLOSSECTOMY
  • 遊離前腕皮弁と遊離腹直筋皮弁との比較から

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Adequate tissue transfer is required to obtain good results of oral functions in patients with reconstruction after hemiglossectomy, particularly half resection of the movable portion of the tongue. In this paper we describe evaluations of postoperative oral functions in patients with reconstruction using a free rectus abdominis musculocutaneous flap or a radial forearm flap. Speech intelligibility, swallowing disorder, and the volume of transferred tissue were studied in 16 patients: 8 patients with a free rectus abdominis musclocutaneous flap (rectus group) and 8 with a forearm flap (forearm group). Regarding speech intelligibility and swallowing disorder, there were no remarkable problems in activities of daily life in all the patients and differences between the rectus and forearm group. In CT scanning images, the pharyngeal space had a tendency to be narrow in the rectus group, and to be wide in the forearm group.<br>From the results obtained we may choose a free rectus abdominis musculocutaneous flap for a slender patient and a forearm flap for an obese patient.

収録刊行物

  • 頭頸部腫瘍

    頭頸部腫瘍 30 (1), 94-99, 2004

    日本頭頸部癌学会

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