耳鼻咽喉科・頭頸部外科87巻7号

2015年06月発行

特集 All about頭頸部再建—多彩な皮弁を使いこなす！

≪頭頸部再建に用いられる皮弁≫

大腿皮弁

著者： 木股敬裕¹ 松本洋¹ 杉山成史¹ 小野田聡¹

所属機関： ¹岡山大学大学院医歯薬学総合研究科形成再建外科学講座

ページ範囲：P.494 - P.500

文献概要

POINT

●大腿部における特殊な血管形態を紹介した。

●多種多様な皮弁形態での移植が可能である。

●ほかの皮弁と複合移植が可能である。

●頭頸部領域の手術と同時進行で皮弁の挙上が可能である。

●頭頸部領域欠損に対する幅広い適応範囲に触れた。

●皮弁採取部の犠牲が少ない。

参考文献

1）Song YG, et al：The free thigh flap：a new free flap concept based on the septocutaneous artery. Br J Plast Surg 37：149-159, 1984

2）Koshima I, et al：Free anterolateral thigh flaps for reconstruction of head and neck defects. Plast Reconstr Surg 92：421-430, 1993

3）Koshima I, et al：Free combined composite flaps using the lateral circumflex femoral system for repair of massive defects of the head and neck regions：An introduction to the chimeric flap principle. Plast Reconstr Surg 92：411-420, 1993

4）Kimata Y, et al：Versatility of the free anterolateral thigh flap for reconstruction of head and neck defects. Arch Otolaryngol Head Neck Surg 123：1325-1331, 1997

5）Wei FC, et al：Combined anterolateral thigh flap and vascularized fibula osteoseptcutaneous flap in reconstruction of extensive composite mandibular defects. Plast Reconst Surg 109：45-52, 2002

6）Wei FC, et al：Have we found an ideal soft-tissue flap? An experience with 672 anterolateral thigh flaps. Plast Reconstr Surg 109：2219-2226, 2002

7）Chana JS, et al：A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. Br J Plast Surg 57：603-609, 2004

8）Kimata Y, et al：Anterolateral thigh flap for abdominal-wall reconstruction. Plast Reconstr Surg 103：1191-1197, 1999

9）Kuo YR, et al：Free anterolateral thigh flap for extremity reconstruction. Clinical experience and functional assessment of donor site. Plas Reconstr Surg 107：1766-1771, 2001

10）Kimata Y, et al：Anatomic variations and technical problems of the anterolateral thigh flap：A report of 74 cases. Plast Reconstr Surg 102：1517-1523, 1998

11）Kimata Y, et al：Comparison study of innervated and noninnervated free flaps in oral reconstruction. Plast Reconstr Surg 104：1307-1313, 1999

12）Alkureishi LW, et al：Effects of thinning the anterolateral thigh flap on the blood supply to the skin. Br J Plast Surg 576：401-408, 2003

13）Yang WG, et al：Thin anterolateral thigh perforator flap using a modified perforator microdissection technique and its clinical application for foot resurfacing. Plast Reconstr Surg 117：1004-1008, 2006

14）Hsieh CH et al：Free anterolateral thigh adipofascial perforator flap. Plast Reconstr Surg 112：976-982, 2003

15）Kimata Y, et al：Anterolateral thigh flap donor-site complications and morbidity Plast Reconstr Surg 104：584-586, 2000

16）Ali RS, et al：The versatility of the anterolateral thigh flap. Plast Reconstr Surg 124：395e-407e, 2009

17）Gehanno P, et al：Rehabilitation velo-pharyngee apress bucco-pharyngectomie-tras-maxillarie elagie a la region velo-palatine. Ann Oto-Laryng（Paris）102：135-137, 1985

18）Yu P, et al：Pharyngoesophageal reconstruction with the anterolateral thigh flap：A clinical and functional outcomes study. Plast Reconstr Surg 116：1845-1855, 2005