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
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 pla...
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| Published in | 日本口腔外科学会雑誌 Vol. 69; no. 11; pp. 493 - 498 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益社団法人 日本口腔外科学会
20.11.2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.69.493 |
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| Abstract | 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. |
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| AbstractList | 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. |
| Author | 山城, 正司 久保田, 真子 稲葉, 好則 金丸, 智紀 依田, 哲也 大山, 厳雄 長谷川, 和樹 岩崎, 拓也 鵜澤, 成一 道, 泰之 |
| Author_xml | – sequence: 1 fullname: 大山, 厳雄 organization: 静岡市立静岡病院口腔外科 – sequence: 1 fullname: 鵜澤, 成一 organization: 大阪大学大学院歯学研究科顎口腔腫瘍外科学講座 – sequence: 1 fullname: 金丸, 智紀 organization: 東京医科歯科大学医歯学総合研究科顎顔面外科分野 – sequence: 1 fullname: 山城, 正司 organization: NTT 東日本関東病院歯科口腔外科 – sequence: 1 fullname: 道, 泰之 organization: 東京医科歯科大学医歯学総合研究科顎口腔腫瘍外科分野 – sequence: 1 fullname: 依田, 哲也 organization: 東京医科歯科大学医歯学総合研究科顎顔面外科分野 – sequence: 1 fullname: 長谷川, 和樹 organization: 静岡市立静岡病院口腔外科 – sequence: 1 fullname: 久保田, 真子 organization: 東京医科歯科大学医歯学総合研究科顎顔面外科分野 – sequence: 1 fullname: 岩崎, 拓也 organization: 東京医科歯科大学医歯学総合研究科顎顔面外科分野 – sequence: 1 fullname: 稲葉, 好則 organization: 静岡市立静岡病院口腔外科 |
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| References | 9) Koyachi M, Sugahara K, et al : Mixed-reality and computer-aided design/computer-aided manufacturing technology for mandibular reconstruction: a case description. Quant Imaging Med Surg 13: 4050-4056, 2023. Epub 20230419. doi:10.21037/qims-22-1118. PubMed PMID: 37284085;PubMed Central PMCID: PMC10240039. 1) Mochizuki Y, Omura K, et al : Functional outcomes and patient satisfaction after vascularized osteocutaneous scapula flap reconstruction of the mandible in patients with benign or cancerous tumours. Int J Oral Maxillofac Surg 43: 1330-1338,2014. Epub 20140722. doi: 10.1016/j.ijom.2014.06.012.PubMed PMID: 25062550. 6) Kanda Y : Investigation of the freely available easy-to-use software‘EZR’for medical statistics. Bone Marrow Transplant 48: 452-458, 2013. Epub 20121203. doi: 10.1038/bmt.2012.244. PubMed PMID: 23208313; PubMed Central PMCID: PMC3590441. 2) Zhu J, Yang Y, et al : Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg 52: 163-167, 2014. Epub 20131123. doi: 10.1016/j.bjoms.2013.10.012. PubMed PMID: 24280117. 5) Bouland C, Albert N, et al : Risk factors assessment in fibular free flap mandibular reconstruction. Ann Chir Plast Esthet 66: 351-356, 2021. Epub 20210330. doi: 10.1016/j.anplas.2021.03.003. PubMed PMID:33810915. 7) Hasegawa K, Miyamoto H, et al : Pull-through technique of scapular osteocutaneous flap to decrease frequency of positioning change. Br J Oral Maxillofac Surg 38: 33-34, 2000. doi: 10.1054/bjom.1999.0171. PubMed PMID: 10783445. 4) Wolfer S, Wohlrath R, et al : Scapular free flap as a good choice for mandibular reconstruction: 119 out of 280 cases after resection of oral squamous cell carcinoma in a single institution. Br J Oral Maxillofac Surg 58: 451-457, 2020. Epub 20200319. doi: 10.1016/j.bjoms.2020.02.020. PubMed PMID: 32201048. 3) Brown JS, Lowe D, et al : Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years. Br J Oral Maxillofac Surg 55: 113-126, 2017.Epub 20170105. doi: 10.1016/j.bjoms.2016.12.010.PubMed PMID: 28065645. 8) Dong QN, Karino M, et al : Computer-assisted fabrication of a cutting guide for marginal mandibulectomy and a patient-specific mandibular reconstruction plate: A case report. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 33: 505-512, 2021. |
| References_xml | – reference: 8) Dong QN, Karino M, et al : Computer-assisted fabrication of a cutting guide for marginal mandibulectomy and a patient-specific mandibular reconstruction plate: A case report. Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology 33: 505-512, 2021. – reference: 9) Koyachi M, Sugahara K, et al : Mixed-reality and computer-aided design/computer-aided manufacturing technology for mandibular reconstruction: a case description. Quant Imaging Med Surg 13: 4050-4056, 2023. Epub 20230419. doi:10.21037/qims-22-1118. PubMed PMID: 37284085;PubMed Central PMCID: PMC10240039. – reference: 5) Bouland C, Albert N, et al : Risk factors assessment in fibular free flap mandibular reconstruction. Ann Chir Plast Esthet 66: 351-356, 2021. Epub 20210330. doi: 10.1016/j.anplas.2021.03.003. PubMed PMID:33810915. – reference: 6) Kanda Y : Investigation of the freely available easy-to-use software‘EZR’for medical statistics. Bone Marrow Transplant 48: 452-458, 2013. Epub 20121203. doi: 10.1038/bmt.2012.244. PubMed PMID: 23208313; PubMed Central PMCID: PMC3590441. – reference: 1) Mochizuki Y, Omura K, et al : Functional outcomes and patient satisfaction after vascularized osteocutaneous scapula flap reconstruction of the mandible in patients with benign or cancerous tumours. Int J Oral Maxillofac Surg 43: 1330-1338,2014. Epub 20140722. doi: 10.1016/j.ijom.2014.06.012.PubMed PMID: 25062550. – reference: 3) Brown JS, Lowe D, et al : Mandibular reconstruction with vascularised bone flaps: a systematic review over 25 years. Br J Oral Maxillofac Surg 55: 113-126, 2017.Epub 20170105. doi: 10.1016/j.bjoms.2016.12.010.PubMed PMID: 28065645. – reference: 2) Zhu J, Yang Y, et al : Assessment of quality of life and sociocultural aspects in patients with ameloblastoma after immediate mandibular reconstruction with a fibular free flap. Br J Oral Maxillofac Surg 52: 163-167, 2014. Epub 20131123. doi: 10.1016/j.bjoms.2013.10.012. PubMed PMID: 24280117. – reference: 7) Hasegawa K, Miyamoto H, et al : Pull-through technique of scapular osteocutaneous flap to decrease frequency of positioning change. Br J Oral Maxillofac Surg 38: 33-34, 2000. doi: 10.1054/bjom.1999.0171. PubMed PMID: 10783445. – reference: 4) Wolfer S, Wohlrath R, et al : Scapular free flap as a good choice for mandibular reconstruction: 119 out of 280 cases after resection of oral squamous cell carcinoma in a single institution. Br J Oral Maxillofac Surg 58: 451-457, 2020. Epub 20200319. doi: 10.1016/j.bjoms.2020.02.020. PubMed PMID: 32201048. |
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| SubjectTerms | 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 |
| Title | 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 |
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