上顎部分切除・腓骨皮弁再建症例に対し口蓋側アプローチにて口腔前庭形成術を施行した1例

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  • Palatal approach for vestibuloplasty in a case of maxillectomy reconstructed with fibular osteoseptocutaneous flap

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However, when the flap is thick with fat tissue, the prosthetic appliance is unstable, resulting in the need for defatting of the flap.<br>A 73-year-old woman underwent resection of the maxilla and reconstruction using a fibular osteocutaneous flap. Although the flap was successfully transferred, the oral vestibule could not be created due to the bulkiness of the flap. The dental prosthesis was, therefore, unstable, requiring vestibuloplasty, which was performed 11 months after the reconstruction. In the usual setting, the flap is thinned from the lip side. However, the fibula was fixed with plates on the labial side. Thus, the flap was elevated from the posterior side and debulked to avoid exposure of the plates. The oral vestibule was formed sufficiently deep without infection postoperatively.

収録刊行物

  • 頭頸部癌

    頭頸部癌 38 (4), 403-407, 2012

    日本頭頸部癌学会

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