{"created":"2023-06-19T07:38:51.926137+00:00","id":2459,"links":{},"metadata":{"_buckets":{"deposit":"e5c267f0-6ae1-49c7-89aa-f3faeab2e38f"},"_deposit":{"created_by":3,"id":"2459","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2459"},"status":"published"},"_oai":{"id":"oai:mdu.repo.nii.ac.jp:00002459","sets":["1:47:78"]},"author_link":["2954","2953"],"item_10001_alternative_title_1":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Arterialized Flaps in Oral and Maxillofacial Reconstruction"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1988-04-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"18","bibliographicPageStart":"1","bibliographicVolumeNumber":"14","bibliographic_titles":[{"bibliographic_title":"松本歯学"},{"bibliographic_title":"Journal of the Matsumoto Dental University Society","bibliographic_titleLang":"en"}]}]},"item_10001_description_19":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"In spite of advance of radiotherapy, chemotherapy, and various combined methods of cancer treatment, en bloc removal of advanced cancer have been attached importance by many surgeons, directing their attention to a rapid method of one stage transfer reconstruction for the resulting deformity. Random flap, forehead flap, and deltopectoral flap were used in most cases to reconstruct defects during the 1960s and myocutaneous flaps were developed during the 1970s. Inrecent years, myocutaneous free flaps which distantly transfer a block of composite tissue without a pedicle by microvascular anastomoses are much improved in reconstructing oral and maxillofacial defects. This means that oral and maxillofacial reconstruction of apparant cosmetic defects necessitates the use of the best tissues for achievement of not only well-shaped appearance but functional movements. Commending features of palatal flap, forehead flap, deltopectoral flap, pectoralis major musculocutaneous flap,latissimus myocutaneous flap, sternocleidomastoid musculocutaneous flap, trapezius myocutaneous flap, platysma musculocutaneous flap, temporal muscle flap, and various myocutaneous free flaps used in the reconstruction of oral and maxillofacial region are discussed in the reviews of literatures and the cases treated in our Dep artment.　 Success rates of free flap reconstructions amount to more than 90% of cases as presented in some literatures. But maxillofacial reconstructions for mucosal defect are sometimes troubled with the occurrence of necrosis of the flap which results from such factors as excessive tension, torsion or kinking of vessels for complicated anatomy of　maxillofacial region, and contamination with saliva. Moreover, the flap should not make the remaining healthy tissue less functional during mastication, swallowing and speech. From the viewpoint of bringing its blood supply, selection of appropriate flap and proper surgical expertise allow us to successfully use arterialized flaps and free flaps to reconstruct particularly defects of the oral region.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"松本歯科大学学会"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00232590","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-1613","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"山岡, 稔"}],"nameIdentifiers":[{"nameIdentifier":"2953","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山岡, 稔"}],"nameIdentifiers":[{"nameIdentifier":"2954","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-03-04"}],"displaytype":"detail","filename":"matsumoto_shigaku_14-01-01.pdf","filesize":[{"value":"3.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"本文","url":"https://mdu.repo.nii.ac.jp/record/2459/files/matsumoto_shigaku_14-01-01.pdf"},"version_id":"32cb8bf1-cf9f-4001-b296-2545b235e950"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"顎顔面","subitem_subject_scheme":"Other"},{"subitem_subject":"再建","subitem_subject_scheme":"Other"},{"subitem_subject":"動脈弁","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"顎顔面再建のための動脈弁","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"顎顔面再建のための動脈弁"}]},"item_type_id":"10001","owner":"3","path":["78"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-03-04"},"publish_date":"2016-03-04","publish_status":"0","recid":"2459","relation_version_is_last":true,"title":["顎顔面再建のための動脈弁"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-19T08:06:00.460520+00:00"}