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Reconstruction of the Floor of Mouth Using Pectoralis Major Myocutaneous Flap Michiaki Yokoyama 1 1Department of Otolmyngology Tottori University, School of Medicine pp.113-118
Published Date 1982/2/20
DOI https://doi.org/10.11477/mf.1492209397
  • Abstract
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 Three cases of reconstruction of the floor of mouth using pectoralis major myocutaneous flap are reported. All the cases of lingual cancer, T1-T3, had been treated with radiation and chemotherapy,but the tumors were not controlled.

 The floor of mouth was successfuly reconstructed using pectoralis major myocutaneous flap after a subtotal glossectomy (1/2-2/3) with radical neck dissection. In our view points, the important points of using pectoralis major myocutaneous flap are following.

 1) To make a rather large oblong island flap.

 2) To make a wide muscle pedicle in the case of the narrow thoracoacromial artery.

 3) To make 2 layers (epithelium and musculature) sutures between the island flap and the tongue.

 4) The continuous suction drainage is necessary after the operation.


Copyright © 1982, 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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