神経・血管柄付き遊離床背筋良弁による舌機能再建を行った１例

Abstract

Postoperative defects after resection of advanced tongue cancer requires considerable reconstruction of the tongue and oral floor. Ideally, tongue reconstruction should main tain the functions of swallowing, speech, and airway competence.We designed a neurovascular latissimus dorsi flap (LD) for subtotal glossectomy. The motor nerve (thoracodorsal nerve) of the LD was anastomosed to the trunk of the hypoglossal nerve, interposed with the greater auricular nerve.After 8 months, electromyography showed recovery of neural function of the LD, and cineradiography indicated that swallowing had improved.