コガ　ヨウコ   KOGA Youko   古賀　陽子    所属   医学部 医学科（東京女子医科大学病院）    職種   教授・基幹分野長
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Reconstruction of a complex midface defect from excision of a squamous cell carcinoma, according to regional aesthetic units.
掲載誌名	正式名：Oral surgery, oral medicine, oral pathology and oral radiology 略　 称：Oral Surg Oral Med Oral Pathol Oral Radiol ISSNコード：22124411
掲載区分	国外
巻・号・頁	117(2),pp.e97-e101
著者・共著者	Kawase-Koga Yoko, Mori Yoshiyuki, Saijo Hideto, Hoshi Kazuto, Takato Tsuyoshi
発行年月	2014/02
概要	Extensive squamous cell carcinoma involving the skin of the upper lip, nasal ala, and cheek is relatively rare. Although numerous reconstruction techniques for the midface including lip, nose, and cheek have been described in the literature, reconstruction of large defects in this area continues to be challenging, as it is difficult to obtain satisfactory results with single-stage surgery. This case report concerns a 53-year-old woman with squamous cell carcinoma extending from the upper lip to the alar base and the cheek. It describes a step-by-step surgery undertaken according to defined regional aesthetic units of the face using several reconstruction methods, including a microvascular free flap, forehead flap, and conchal cartilage graft, rather than multistage reconstruction surgeries after first immediate reconstruction. Satisfactory functional and aesthetic results were achieved despite the extensive facial defects.
DOI	10.1016/j.oooo.2013.06.038
PMID	24113351