頬脂肪体を用いた顎口腔再建術の有用性に関する検討  [in Japanese] Applicability of buccal fat pad grafting for oral reconstruction  [in Japanese]

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Author(s)

    • 吉野 綾 Yoshino Aya
    • 島根大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
    • 関根 浄治 Sekine Joji
    • 島根大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
    • 成相 義樹 Nariai Yoshiki
    • 島根大学医学部歯科口腔外科学講座|松江市立病院歯科口腔外科 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Department of Oral and Maxillofacial Surgery, Matsue City Hospital
    • 狩野 正明 Karino Masaaki
    • 島根大学医学部歯科口腔外科学講座|福岡大学医学部形成外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Department of Plastic, Reconstructive and Aesthetic Surgery, Fukuoka University
    • 辰巳 博人 Tatsumi Hiroto
    • 島根大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
    • 恒松 晃司 Tsunematsu Koji
    • 島根大学医学部歯科口腔外科学講座|国立病院機構浜田医療センター歯科口腔外科 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Division of Maxillofacial Surgery, National Hospital Organization Hamada Medical Center
    • 高村 雄太郎 Takamura Yutaro
    • 島根大学医学部歯科口腔外科学講座|福岡歯科大学矯正歯科学分野 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Department of Oral Growth and Development, Division of Clinical Dentistry, Fukuoka Dental College
    • 管野 貴浩 Kanno Takahiro
    • 島根大学医学部歯科口腔外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine
    • 柳井 智恵 Yanai Chie
    • 島根大学医学部歯科口腔外科学講座|日本歯科大学附属病院口腔インプラント診療科 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Division of Oral Implant, Nippon Dental University Hospital
    • 近藤 誠二 Kondo Seiji
    • 島根大学医学部歯科口腔外科学講座|昭和大学歯学部口腔外科学講座 Department of Oral and Maxillofacial Surgery, Shimane University Faculty of Medicine|Department of Oral and Maxillofacial Surgery, Showa University

Abstract

頬脂肪体は頬筋,咬筋,下顎枝で囲まれた領域を満たしている組織で,周囲組織からの豊富な血流を有している。われわれは,腫瘍切除後に生じた口腔領域の欠損の再建や,顎関節受動術などに頬脂肪体を適用してきた。これまでの臨床症例について報告する。対象は頬脂肪体を用いて再建を行った症例49名,再建数50例であった。部位別内訳は,下顎歯肉14例,上顎歯肉13例,口蓋9例,頬粘膜8例,下顎枝3例,その他3例であった。原疾患別では,扁平上皮癌が24例で最も多く,次いで,上皮内癌4例,多形腺腫3例,顎関節強直症3例,疣贅癌2例,放射線性顎骨壊死2例,その他12例であった。50例中49例で4週間以内に上皮化が認められた。頬脂肪体を用いた再建は口腔領域において術後欠損の再建材料として有用であると考えられた。

The pedicled buccal fat pad (BFP) fills an anatomical gap formed by the buccinator muscle, the masseter muscle, and the ramus of the mandible. It has a sufficient blood supply from the surrounding arteries. We have been using BFP grafting for the reconstruction of oral defects induced by ablative surgery for a tumor, ankylosis of the temporomandibular joint and so on. This study aimed to evaluate the applicability of pedicled BFP grafting following oral and maxillofacial surgery. We retrospectively evaluated 50 graftings in 49 cases. The grafts were applied for defects of the lower gingiva (n=14), the upper gingiva (n=13), the palate (n=9), the buccal mucosa (n=8), the ramus of the mandible (n=3), and other regions (n=3). According to the primary diseases, we applied it for cases of squamous cell carcinoma (n=24), carcinoma in situ (n=4), pleomorphic carcinoma (n=3), ankylosis of the temporomandibular joint (n=3), verrucous carcinoma (n=2), osteoradionecrosis of the jaw (n=2), and other lesions (n=12). Complete epithelialization of the BFP occurred within 4 weeks in 49 of the 50 graftings. BFP grafting appears to be suitable for the reconstruction of surgical defects in the oral region.

Journal

  • Toukeibu Gan

    Toukeibu Gan 41(4), 406-410, 2015

    Japan Society for Head and Neck Cancer

Codes

  • NII Article ID (NAID)
    130005119901
  • Text Lang
    JPN
  • ISSN
    1349-5747
  • Data Source
    J-STAGE 
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