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Japanese

PRIMARY RECONSTRUCTIVE SURGERY WITH PEDICLED FLAP AFTER RESECTION OF HEAD AND NECK TUMOR Yasushi Murakami 1 pp.95-107
Published Date 1974/2/20
DOI https://doi.org/10.11477/mf.1492208026
  • Abstract
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 Following exterpation of head and neck tumors, attempts were made for functional reconstruction of smaller defects by employing several kinds of vascular pedicled island flaps. Following conclusions are reached:

 1) Vascular pedicled island flap derived from the superficial temporal artery is highly effective in that it could be used in any region within the range of 10 cm from the preauricular area and the take is satisfactory even to site that had been preoperatively irradiated.

 2) The island flap made from the supratrochlear artery in the midportion of the forehead, on the other hand, is useful only in the upper external area of the nose because its range of extension is short and the cliber of the blood stream is poor.

 3) Mucoperiosteal island flap from the hard palate with the great palatine artery is quite satisfactory in repairing a small defect in the soft palate. However, it may fail to take because of circulatory disturbances that may be present after irradiation or in elderly patients.


Copyright © 1974, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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