Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

頭頸部癌の再建外科―当科における再建術式の臨床的観察―

渡辺 周一 岡山大学医学部耳鼻咽喉科学教室
川上 登史 岡山大学医学部耳鼻咽喉科学教室
井口 郁雄 岡山大学医学部耳鼻咽喉科学教室
宇野 鉄哉 岡山大学医学部耳鼻咽喉科学教室
大道 卓也 岡山大学医学部耳鼻咽喉科学教室
深沢 元晴 岡山大学医学部耳鼻咽喉科学教室
米田 孝明 岡山大学医学部耳鼻咽喉科学教室
福島 邦博 岡山大学医学部耳鼻咽喉科学教室
増田 游 岡山大学医学部耳鼻咽喉科学教室
上川 康明 岡山大学医学部第一外科学教室
Thumnail 104_29.pdf 2.71 MB
抄録
Thiry nine reconstructive surgeries were performed in 37 cases of head and neck cancers from January, 1989 to August, 1991 in our department. The best functional results were obtained on deglutition, swallowing and phonatin after intraoral and/or mesopharyngeal reconstruction using free radial forearm flaps. The free jejunal transposition procedure had the lowest complication rate. The rectus abdominus musculocutaneous free flap was used for nasal, paranasal reconstruction. Esthetics could be presereved by this reconstruction method due to mider postoperative atrophy and contraction. Eye sockets for the artificial eyes were made with eye conjunctiva in 3 canses of extended total maxillectomy with the orbital exenteration. The use of microvas-cular free flaps in this new plastic surgery resulted in the decrease of refusal of operations in maxillectomy canses.
キーワード
再建外科
頭頸部癌
有茎 (筋) 皮弁
遊離 (筋) 皮弁
ISSN
0030-1558
NCID
AN00032489