オトガイ下皮弁により再建した高齢頬粘膜癌の1例

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  • A Case of Buccal Mucosal Cancer in an Elderly Patient in Whom the Surgical Defect Was Reconstructed with a Submental Island Flap
  • オトガイ カ ヒベン ニ ヨリ サイケン シタ コウレイ ホオ ネンマクガン ノ 1レイ

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<p>The submental island flap is an axial-pattern flap with the submental artery and vein, branches of the facial artery/vein, as the feeding and draining blood vessels. The advantages of this flap are that it is a thin and supple flap, has a long vascular stem, the flap donor site can be sewn temporarily, and the operation time is shorter than with a free flap. The disadvantage is that the submandibular region cannot be dissected, and the indication for the use of this flap should be limited to N0 cases.</p><p>The patient was an 88-year-old woman in whom excision of T2N0M0 buccal mucosal cancer near the corner of the mouth resulted in a surgical defect measuring 7.5 cm × 5 cm in size, extending from the corner of the mouth to the floor of the oral cavity. An 8 cm × 6 cm submental island flap was harvested, and the defect reconstructed. There was no recurrence after 3 years, and no aesthetic or functional problems were encountered.</p><p>A submental island flap appears to be useful for reconstructing cheek defects in the elderly who have difficulty in long time surgery.</p>

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