フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Combined use of anterolateral thigh flap and pharyngeal flap for reconstruction of extensive soft-palate defects.
掲載誌名	正式名：Microsurgery 略　 称：Microsurgery ISSNコード：10982752/07381085
掲載区分	国外
巻・号・頁	36(4),pp.291-6
著者・共著者	Shimpei Miyamoto, Minoru Sakuraba, Shogo Nagamatsu, Masahide Fujiki, Yutaka Fukunaga, Ryuichi Hayashi
発行年月	2016/05
概要	BACKGROUND:Functional reconstruction of extensive soft-palate defects is challenging for microsurgeons. The versatility of the combination of a free anterolateral thigh flap and a superiorly based pharyngeal flap for oncologic soft-palate reconstruction was investigated.METHODS:The combination of flaps was used for immediate reconstruction after total or subtotal resection of the soft palate in five consecutive patients from 2006 to 2011.RESULTS:All flaps survived completely. Palatal fistula and miniplate infection each developed in one patient but healed conservatively. Follow-up period ranged from 21 to 66 months. All patients tolerated a regular diet without significant aspiration or nasal regurgitation. Speech intelligibility was excellent in all patients, and none required a palatal prosthesis.CONCLUSIONS:The combination of an anterolateral thigh flap and a superiorly based pharyngeal flap is a versatile option for reconstructing extensive soft-plate defects. This method is simple and achieves reproducible results with limited donor-site morbidity. © 2015 Wiley Periodicals, Inc. Microsurgery 36:291-296, 2016.
DOI	10.1002/micr.22507
PMID	26419935