@article{oai:niigata-u.repo.nii.ac.jp:00016819, author = {又賀, 泉}, issue = {3}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Mar}, note = {Current conception and problems of the reconstructive procedures for both soft and hard tissue defects following oral cancer ablation have been introduced in this session. Total number of 137 flaps in 112 patients, 86 males and 26 females, reconstructed by major flaps such as musculocutaneous and osteocutaneous flap following radical resection with neck dissection and bony resection for oral cancer ablation in the Second Department of Oral and Maxillofacial Surgery, School of Dentistry at Niigata, The Nippon Dental University Hospital during ten years, from 1977 to 1996, have been retrospectively discussed. In recent, revascularized cutaneous flaps such as forearm, rectus abdominal flap and revascularized osteocutaneous flaps such as iliac, scapular and fibular flaps have applied more than pedicled cutaneous or musculocutaneous flaps such as forehead, deltopectoral, pectoral major musculocutaneous and latissimus dorsi flap because of easy reform for both defects of soft and bony defects by one stage, flexibility of designing and also no bone resorption is detected under the long term observation. After reconstruction, dental implant has been employed in the grafted bone and residual maxillo-mandibular bone for the masticatory and phonetic rehabilitation. Functional reconstruction is a big challenge for the quality of life of oral cancer patients.}, pages = {119--123}, title = {6)口腔癌切除後の機能的再建の現状(シンポジウム 形成外科最近の進歩, 第527回新潟医学会 )}, volume = {112}, year = {1998} }