DP皮弁, MC弁による頭頸部の再建手術

DOI
  • 森満 保
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 松元 一郎
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 永井 知幸
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 永井 みどり
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 江夏 国寿
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 井手 稔
    Department of Otorhinolaryngology, Miyazaki Medical College
  • 原 芳美
    Department of Otorhinolaryngology, Miyazaki Medical College

書誌事項

タイトル別名
  • Reconstructive Head and Neck Surgery with Deltopectral Flap and Myocutaneous Flap

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抄録

Nine cases of reconstructive head and neck surgery with deltopectral flap (DP flap) and myocutaneous flap (MC flap) were reported. Reconstruction after hemiglossectomy with pectral MC flap was done successfully in two cases of recurrent tongue cancer. Reconstruction of the palate, buccal wall and mouth floor with extended pectral MC flap was failed because of the too long flap beyond the margin of pectral muscle. In such case the whole muscle flap should be adopted. In cases of parotid cancer and neck metastasis of tongue cancer, the exposed carotid artery after the resection of the involved skin was covered well with pectral MC flap. After the pharyngolaryngoesophagectomy the sternoclaid MC flap for reconstruction of esophagus and DP flap for the cover of the exposed wound were usefull. This reconstructive procedure seems to be beneficial in the cases of fatty female. After the pharyngoesophagectomy, the esophagus was reconstructed primarily with pectral MC flap successfully. In our series the reconstructive surgeries were carried out in the advanced cases behind time. The reconstructive surgery with DP flap or MC flap was so usefull that the radical operation should be carried out in the earlier cases to get a nice prognosis of head and neck cancers.

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