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Accession number;04A0146740
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| Title;IMPORTANCE OF SOFT TISSUE RECONSTRUCTION IN EXTENSIVE MANDIBULAR DEFECTS |
| Author;
TERAO YASUNOBU
(Toritsukomagomebyoin Keiseigeka)
UCHIDA IKUHIRO
(Toritsukomagomebyoin Kokugeka)
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Journal Title;Head and Neck Cancer
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Journal Code:Y0503A
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ISSN:0911-4335
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VOL.28;NO.1;PAGE.80-85(2002)
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| Figure&Table&Reference;FIG.4, TBL.2, REF.3 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Soft tissue reconstruction in extensive composite mandibular defects has great significance for a functional and aesthetic result. From January 1998 to January 2001, mandubular reconstructions with free composite tissue transfer were performed on 20 patients. Eighteen of them had advanced oral cancer and 2 of them had mandibular sarcoma. There were 12 male and 8 female patients. Patients' ages ranged from 24 to 77 years (mean age was 53). Donor sites included 13 fibular osteocutaneous flaps, 6 scapular osteocutaneous flaps and 1 rectus abdominis flap with costal cartilage. All of the patients who underwent reconstruction with fibular flaps and grafting of second flaps simultaneously for soft tissue reconstruction. The second flap included 8 thigh flaps, 3 rectus abdominis flaps, 2 pedicled latissimus dorsi flaps and 1 omentum. Six scapular bones were harvested with large skin flaps for the intraoral lining and soft tissue augmentation. Aesthetic and functional results were evaluated a minimum of 9 months postoperatively. Eighty percent of the patients were satisfied with their appearance of the lower third of their face and the other patients required volume reduction. All of the patients, except for the patient who could not postoperatively exercise, could open their mouth more than two fingerbreadths. Normal diet was taken by 75% of the patients whose hemimandibular teeth (including the patient with total glossectomy) were preserved and the other 5 patients took soft diet with the dentures. Speech was assessed as normal in all of the patients except for 2 patients who had total glossectomy. It was concludes that soft tissue reconstruction of extensive mandibular defects is very important for improveing the quality of life of patients. (author abst.) |
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