Indications for vascularized free rectus abdominis musculocutaneous flap in oromandibular region in terms of efficiency of anterior rectus sheath.
The anterior rectus sheath, efficacious in reconstructive surgery, is used in oromandibular reconstruction with the free rectus abdominis musculocutaneous flap. This study describes reconstruction with this sheath in 20 patients: to preserve only the swallowing function in 10 patients (formation of the bulge of the reconstructed oral floor and prevention of its sinking); to preserve both swallowing and articulation in 5 patients (formation of the bulge of the reconstructed tongue and prevention of its sinking, concurrent with a money-pouch-like reconstruction of the tongue, laryngeal suspension, and neuroanastomosis); and to prevent exposure of the reconstruction plate, replacing the resected mandibular continuity in 5 patients. The purpose of reconstruction was achieved in all patients. The vascularized free rectus abdominis musculocutaneous flap with a firm anterior rectus sheath may be the first choice for these types of reconstruction.
Department of Oral and Maxillofacial Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. kanako45@aurira.ocn.ne.jp
Satoshi
S
Yokoo
Takahide
T
Komori
Syungo
S
Furudoi
Yasuyuki
Y
Shibuya
Masahiro
M
Umeda
Akihiro
A
Ichinose
Tadashi
T
Nomura
Hiroto
H
Terashi
Shinya
S
Tahara
Ken-Ichi
K
Nibu
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D003679:Deglutition / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D017568:Rectus Abdominis / Q000098:blood supply* / Q000473:pathology / Q000637:transplantation*; D013060:Speech / Q000502:physiology; D013524:Surgical Flaps / Q000098:blood supply* / Q000473:pathology / Q000502:physiology; D014062:Tongue Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*