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구강악안면 재건 영역에서 자가정맥이식의 이용
Applications of autologous vein graft in the field of oral and maxillofacial surgery

대한구강악안면외과학회지 1993년 19권 3호 p.361 ~ 372

이종호, 서구종, 박광, 박기덕, 정무강, 정중재, 정종철, 박준아,

소속 상세정보

이종호 (  ) - 전남대학교
서구종 (  ) - 전남대학교
박광 (  ) - 전남대학교
박기덕 (  ) - 전남대학교
정무강 (  ) - 전남대학교
정중재 (  ) - 전남대학교
정종철 (  ) - 전남대학교
박준아 (  ) - 전남대학교

KMID : 0355619930190030361

Abstract

We analysed the clinical datas obtained from 10 patients who underwent reconstructive microsurgery using venous autografts(male, 9 : female, 1 : range of age, 18-70 years old). The autologous veins were used to lengthen the pedicle in 6 cases. In
the
rest 4 cases, we used the autologous veins to reconstruct the defect of radial artery, lacrimal canaliculi, Wharton's duct and to guide the nerve regeneration, respectively. A length of long(7 cases) or small(3 cases) saphenous veins were
harvested.
Various types of venous graft with long saphenous vein and its branches(Medial femoral vein and external pudendal vein) were designed, including Y-, Loop- and interpositioning-type. These designs were very helpful when there were inadequate
pedicle
length, unsuitable recipient vessels. We could observe the patency in the repaired Wharton's duct and lacrimal canaliculi with good salivation and lacrimal drainage. Sensory was restored with the venous tubular guide.
In conlusion, venous autografting was most reliable(success rate 90%) and useful technique that might be used in the field of oral and maxillofacial surgery.