大腿筋膜による口唇・口角吊り上げ併用前腕皮弁を用いて再建した頬粘膜原発口腔癌症例

  • 松崎 全成
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 松岡 伴和
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科
  • 増山 敬祐
    山梨大学大学院医学工学総合研究部耳鼻咽喉科・頭頸部外科

書誌事項

タイトル別名
  • Reconstruction with a forearm flap combined with lifting of the lip and labial angle with the fascia from the thigh

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抄録

Favorable function and morphology were achieved by treating a defect created by wide-range lower lip excision by reconstructing the lip with a forearm flap and lifting the lip and labial angle with fascia from the thigh. A 30×20 mm tumor was observed in the right lower labial mucosa of a 78-year-old woman, and biopsy confirmed squamous cell carcinoma. A safety margin of 20 mm was maintained during excision of the facial skin from the labial angle to the lower lip, the tumor and the adjacent mandible, buccal mucosa, oral cavity floor and lower gingiva. The resulting defect was treated by using a free forearm flap to cover the oral cavity and the face, and fascia from the thigh to lift the lip and labial angle. Postoperatively, the patient had no difficulty opening or completely closing her mouth, and an esthetically favorable outcome was achieved. This technique can be used to treat relatively broad defects, and it is one option for labial angle and lower lip reconstruction.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 20 (3), 355-361, 2008

    日本口腔・咽頭科学会

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