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Staged reconstruction of a chronically infected large skull defect using free tissue transfer and a patient-specific polyetheretherketone implant
DC Field | Value | Language |
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dc.contributor.author | 김용욱 | - |
dc.contributor.author | 김의현 | - |
dc.contributor.author | 유대현 | - |
dc.contributor.author | 홍종원 | - |
dc.date.accessioned | 2021-09-29T00:28:27Z | - |
dc.date.available | 2021-09-29T00:28:27Z | - |
dc.date.issued | 2020-10 | - |
dc.identifier.issn | 2287-1152 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/183852 | - |
dc.description.abstract | Reconstructions of extensive composite scalp and cranial defects are challenging due to high incidence of postoperative infection and reconstruction failure. In such cases, cranial reconstruction and vascularized soft tissue coverage are required. However, optimal reconstruction timing and material for cranioplasty are not yet determined. Herein, we present a large skull defect with a chronically infected wound that was not improved by repeated debridement and antibiotic treatment for 3 months. It was successfully treated with anterolateral thigh (ALT) free flap transfer for wound salvage and delayed cranioplasty with a patient-specific polyetheretherketone implant. To reduce infection risk, we performed the cranioplasty 1 year after the infection had resolved. In the meantime, depression of ALT flap at the skull defect site was observed, and the midline shift to the contralateral side was reported in a brain computed tomography (CT) scan, but no evidence of neurologic deterioration was found. After the surgery, sufficient cerebral expansion without noticeable dead-space was confirmed in a follow-up CT scan, and there was no complication over the 1-year follow-up period. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Korean Cleft Palate-Craniofacial Association | - |
dc.relation.isPartOf | Archives of Craniofacial Surgery | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Staged reconstruction of a chronically infected large skull defect using free tissue transfer and a patient-specific polyetheretherketone implant | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Plastic and Reconstructive Surgery (성형외과학교실) | - |
dc.contributor.googleauthor | Seung Jin Moon | - |
dc.contributor.googleauthor | Hong Bae Jeon | - |
dc.contributor.googleauthor | Eui Hyun Kim | - |
dc.contributor.googleauthor | Dae Hyun Lew | - |
dc.contributor.googleauthor | Yong Oock Kim | - |
dc.contributor.googleauthor | Jong Won Hong | - |
dc.identifier.doi | 10.7181/acfs.2020.00311 | - |
dc.contributor.localId | A00749 | - |
dc.contributor.localId | A00837 | - |
dc.contributor.localId | A02459 | - |
dc.contributor.localId | A04436 | - |
dc.relation.journalcode | J00212 | - |
dc.identifier.eissn | 2287-5603 | - |
dc.identifier.pmid | 33143400 | - |
dc.subject.keyword | Cranioplasty | - |
dc.subject.keyword | Free tissue flap | - |
dc.subject.keyword | Polyetheretherketone | - |
dc.contributor.alternativeName | Kim, Yong Oock | - |
dc.contributor.affiliatedAuthor | 김용욱 | - |
dc.contributor.affiliatedAuthor | 김의현 | - |
dc.contributor.affiliatedAuthor | 유대현 | - |
dc.contributor.affiliatedAuthor | 홍종원 | - |
dc.citation.volume | 21 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 309 | - |
dc.citation.endPage | 314 | - |
dc.identifier.bibliographicCitation | Archives of Craniofacial Surgery, Vol.21(5) : 309-314, 2020-10 | - |
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