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説明
The surgical reconstruction of major defects of the cheek such as those following cancer surgery or accidental injury, is usually performed using static components (McGregor and Reid, 1970). Recent developments in microsurgery and particularly the use of the myocutaneous flap, have introduced a new dimension in the dynamic reconstruction of facial defects (Manktelow, 1979). We have successfully used the latissimus dorsi neurovascular myocutaneous flap as a free flap for dynamic facial reconstruction in 2 patients with cheek defects (Maruyama ef ai., 1979). However, the reconstruction by microvascular anastomosis is a somewhat complicated and time-consuming procedure and free flap transfer has not yet proved to be thoroughly reliable, as its success always depends on two small vessel anastomoses. We present a patient in whom a pectoralis major ne~ov~cul~ pedicled myocutaneous flap was successfully transferred to fill a soft tissue defect of the cheek and combined with a selective neuro-anastomosis to provide dynamic muscle action.
収録刊行物
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- British Journal of Plastic Surgery
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British Journal of Plastic Surgery 33 145-149, 1980-04-01
Elsevier BV