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입체적 유리 광배근피판을 이용한 복합 안면 결손의 재건

Other Titles
 RECONSTRUCTION OF COMPLEX FACIAL DEFECT USING MULTI-DIMENSIONAL FOLDED LATISSIMUS DORSI MYOCUTANEOUS FREE FLAP 
Authors
 김진형  ;  이훈범  ;  탁관철  ;  신극선 
Citation
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.23(3) : 752-758, 1996-05 
Journal Title
Journal of the Korean Society of Plastic and Reconstructive Surgery(대한성형외과학회지)
ISSN
 1015-6402 
Issue Date
1996-05
Abstract
The difficulty in early detection of maxillary cancer often requires wide resection involving the maxillary sinus, orbit and even the cheek area. Postoperative complications such as oronasal fistula, velopharyngeal insufficiency and facial deformity cause feeding difficulty, loss of vision and speech handicaps. In the past a variety of methods such as skin graft, prosthesis and local flap were used to correct the facial defects following radical maxillectomy. But recently free flap surgery is establishing itself as the accepted trend. Free flaps provide adequate volume mass and is particularly useful in cases where previous surgery or radiotherapy render local flaps infeasible. The authors designed a 3-dimensionally folded latissimus dorsi myocutaneous free flap consisting of nasal cavity, cheek and palatal surface with remaining portions deepithelized. The L-D flap offers the advantage of both adequate pedicle length and sufficient tissue for the volume replacement required in complex facial defects, allowing one stage reconstruction of both nasal and palatal defects. We review in this article 5 cases where free flap reconstruction using the L-D flap was successful and yielded satisfactory results.
Files in This Item:
T199602008.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Tark, Kwan Chul(탁관철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183532
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