腹直筋皮弁による頭頸部癌再建症例の検討

吉本 世一; 川端 一嘉; 澤泉 雅之; 三谷 浩樹; 米川 博之; 別府 武; 福島 啓文; 佐々木 徹; 新橋 渉; 酒井 昭博; 塚原 清彰; 吉田 昌史

doi:10.5981/jjhnc.33.271

Reconstruction for head and neck cancer using rectus abdominis myocutaneous flap

Seiichi Yoshimoto, Kazuyoshi Kawabata, Masayuki Sawaizumi, Hiroki Mitani, Hiroyuki Yonekawa, Takeshi Beppu, Hirofumi Fukushima, Tohru Sasaki, Wataru Shinbashi, Akihiro Sakai, Kiyoaki Tsukahara, Masafumi Yoshida

Author information

Seiichi Yoshimoto
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Kazuyoshi Kawabata
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Masayuki Sawaizumi
Department of Plastic Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Hiroki Mitani
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Hiroyuki Yonekawa
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Takeshi Beppu
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Hirofumi Fukushima
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Tohru Sasaki
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Wataru Shinbashi
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Akihiro Sakai
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Kiyoaki Tsukahara
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research
Masafumi Yoshida
Department of Head and Neck, Cancer Institute Hospital of Japanese Foundation for Cancer Research

Keywords: Rectus abdominis myocutaneous flap, Head and neck reconstruction, Postoperative surgical complications, Flap failure rate, Abdominal hernia

JOURNAL FREE ACCESS

2007 Volume 33 Issue 3 Pages 271-275

DOI https://doi.org/10.5981/jjhnc.33.271

Details

Abstract

Although perforator flaps have become popular for head and neck reconstruction, they have not been used for as many cases in our facility as we had expected, because conventional flaps surpass perforator flaps in some cases. We reviewed the postoperative complications of 603 cases with rectus abdominis myocutaneous flap (RAMCF) from 1986∼2006. Among them, 99.3% of cases succeeded in elevating flaps and 25.5% had surgical complications postoperatively. Twenty-seven flaps had pedicle thrombosis, but 6 of them (22.2%) were salvaged by secondary microvascular anastomosis, and the flap failure rate was 3.5%. The points of the reconstruction for head and neck cancer are discussed and the advantages of RAMCF are mentioned. Our methods of harvesting RAMCF are introduced.

Corresponding author

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