上顎切除後に遊離皮弁と顎義歯による再建を併用した症例の臨床的検討

  • 小林 正樹
    特定医療法人慈恵会新須磨病院歯科口腔外科 神戸大学大学院医学研究科外科系講座口腔外科学分野
  • 渋谷 恭之
    神戸大学大学院医学研究科外科系講座口腔外科学分野
  • 石田 優
    神戸大学大学院医学研究科外科系講座口腔外科学分野
  • 南川 勉
    神戸大学大学院医学研究科外科系講座口腔外科学分野
  • 横尾 聡
    群馬大学大学院医学系研究科顎口腔科学分野
  • 橋川 和信
    神戸大学大学院医学研究科外科系講座形成外科学分野
  • 古森 孝英
    神戸大学大学院医学研究科外科系講座口腔外科学分野

書誌事項

タイトル別名
  • Clinical Evaluation of Cases with Maxillectomy Reconstructed by Both Free Flap and Dento-maxillary Prosthesis

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抄録

The masticator space is occasionally included as part of the excised tissue in maxillectomy in cases when a maxillary tumor extends posteriorly. However, excision of this area without any tissue covering causes postoperative trismus and a fallen cheek in most cases. In this study, the subject group included maxillectomy patients in whom the masticator space was covered by a free vascularized flap and the control group included those who did not receive any flap. Both the groups were provided with dento-maxillary prostheses to close the defect between the oral and nasal cavities. For both groups, measurements of the range of mouth opening, a questionnaire survey regarding masticatory situation, a gum-chewing test, and a blowing test were performed. The results showed that the subject group (2 patients) had better outcomes than the control group. Therefore, our results suggest that combining a free vascularized flap with a dento-maxillary prosthesis is useful in patients undergoing maxillectomy involving excision of the masticator space.

収録刊行物

  • 顎顔面補綴

    顎顔面補綴 35 (2), 83-91, 2012

    一般社団法人 日本顎顔面補綴学会

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