下顎骨切除後の硬性再建について −3種類のプレートの使用経験の報告と考察

• Published in: 日本口腔外科学会雑誌 Vol. 69; no. 11; pp. 493 - 498
• Main Authors: 大山, 厳雄, 鵜澤, 成一, 金丸, 智紀, 山城, 正司, 道, 泰之, 依田, 哲也, 長谷川, 和樹, 久保田, 真子, 岩崎, 拓也, 稲葉, 好則
• Format: Journal Article
• Language: Japanese
• Published: 公益社団法人 日本口腔外科学会 20.11.2023
• Subjects: カスタムメイドプレート; 下顎再建; 肩甲骨皮弁; 血管柄付き遊離皮弁
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.69.493

Reconstruction using a vascularized bone composite flap is currently the standard treatment after resection of the mandible and various types of plates are used. In our department, we mainly perform reconstruction using the scapula and have used three types of plates: mini plates, reconstruction plates, and custom-made plates that have recently been covered by insurance in Japan. In this paper, we compared the miniplate and the reconstruction plate and found that the ischemic time in the cases of the reconstruction plate was shorter than that of the miniplate. In addition, we show an overview of a vascularized scapular flap reconstruction case using a custom-made plate after hemimandibulectomy.