腓骨皮弁を用いた下顎骨放射線骨髄炎の治療

DOI

書誌事項

タイトル別名
  • Treatment of Mandibular Osteoradionecrosis Using A Fibular Flap： A Study on Transplant Site Infection in a Fibular Flap Reconstruction Cases
  • ～腓骨皮弁再建症例の移植部感染に関する検討～

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説明

<p>　　We perform reconstruction using a fibular flap after mandibulectomy for surgical treatment of mandibular osteoradionecrosis in our department. However, pre-existing infection in the surgical field predisposes patients to postoperative infection. In this study, we investigated the incidence of surgical site infection （SSI） in the neck in patients with mandibular osteoradionecrosis who underwent reconstruction using a fibular flap. This retrospective study included 11 patients with mandibular osteoradionecrosis who underwent mandibulectomy and fibular flap reconstruction between January 2013 and December 2022 at our hospital. SSI occurred in eight patients (73%), Among the three patients without SSI, two underwent simultaneous transplantation of an anterolateral thigh flap and a pectoralis major flap, respectively. One patient developed a recurrent infection, followed by contralateral mandibular osteomyelitis, necessitating re-mandibulectomy and reconstruction using another fibular flap. Despite the high incidence of SSI （73%), infection control was achieved through irrigation and negative-pressure wound therapy. Patients with osteoradionecrosis have pre-existing infection around the mandible and low skin extensibility secondary to radiation therapy, which may lead to dead space formation and consequent SSI. Simultaneous transplantation of additional flaps along with a fibula flap may be beneficial to completely fill the dead space and minimize the risk of SSI in such cases.</p>

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詳細情報 詳細情報について

  • CRID
    1390022145089191680
  • DOI
    10.32154/jjscmfs.41.1_1
  • ISSN
    24337838
    0914594X
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
  • 抄録ライセンスフラグ
    使用不可

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