Shibahara T, Noma H, Kakizawa T, Yamane G Y, Yajima Y, Takaki T, Ide Y, Tonogi M, Eguchi J
First Department of Oral and Maxillofacial Surgery, Tokyo Dental College, Chiba, Japan.
Bull Tokyo Dent Coll. 1995 Aug;36(3):121-8.
Forty-two patients with head and neck cancer were submitted to microvascular reconstructive procedures. We divided patients in three groups; a first group of 30 patients, in whom the oral floor (8 patients), the part of tongue (14 patients), the lower gingiva (6 patients) and the oropharynx (2 patients) were reconstructed using various sizes of forearm flaps; a second group of 7 patients who underwent buccal mucosa reconstructions with the forearm flaps; and a third group of 5 patients who received rectus abdominis flaps for total tongue reconstruction. Three illustrative cases, one from each group, are presented in detail. Good results were obtained in 39 patients (94%), with both functional and morphological rehabilitation. There were three flap losses due to thrombosis of the microvascular anastomoses. There was no surgical mortality. The average operating time was about 10 hours in total. We concluded that there is a place for these complex procedures in the treatment of selected cases of head and neck tumors.
42例头颈部癌症患者接受了微血管重建手术。我们将患者分为三组；第一组30例患者，其中8例患者的口底、14例患者的部分舌、6例患者的下牙龈和2例患者的口咽使用不同大小的前臂皮瓣进行重建；第二组7例患者使用前臂皮瓣进行颊黏膜重建；第三组5例患者接受腹直肌皮瓣进行全舌重建。详细介绍了每组中的一个典型病例。39例患者（94%）取得了良好的效果，实现了功能和形态的康复。由于微血管吻合处血栓形成，有3例皮瓣坏死。无手术死亡病例。总平均手术时间约为10小时。我们得出结论，这些复杂手术在治疗特定的头颈部肿瘤病例中具有一席之地。
