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Indications for vascularized free rectus abdominis musculocutaneous flap in oromandibular region in terms of efficiency of anterior rectus sheath
Author(s) -
Yokoo Satoshi,
Komori Takahide,
Furudoi Syungo,
Shibuya Yasuyuki,
Umeda Masahiro,
Ichinose Akihiro,
Nomura Tadashi,
Terashi Hiroto,
Tahara Shinya,
Nibu KenIchi
Publication year - 2003
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.10107
Subject(s) - medicine , swallowing , rectus abdominis muscle , surgery , free flap , anatomy
The anterior rectus sheath, efficacious in reconstructive surgery, is used in oromandibular reconstruction with the free rectus abdominis musculocutaneous flap. This study describes reconstruction with this sheath in 20 patients: to preserve only the swallowing function in 10 patients (formation of the bulge of the reconstructed oral floor and prevention of its sinking); to preserve both swallowing and articulation in 5 patients (formation of the bulge of the reconstructed tongue and prevention of its sinking, concurrent with a money‐pouch‐like reconstruction of the tongue, laryngeal suspension, and neuroanastomosis); and to prevent exposure of the reconstruction plate, replacing the resected mandibular continuity in 5 patients. The purpose of reconstruction was achieved in all patients. The vascularized free rectus abdominis musculocutaneous flap with a firm anterior rectus sheath may be the first choice for these types of reconstruction. © 2003 Wiley‐Liss, Inc. MICROSURGERY 23:96–102 2003