유리 광배근피판을 이용한 안면부 복합재건 치험례
Facial reconstruction using LD-myocutaneous free flaps : report of cases
성만호, 이경신, 박창환, 김선종,
소속 상세정보
성만호 ( ) - 이화여자대학교
이경신 ( ) - 이화여자대학교
박창환 ( ) - 이화여자대학교
김선종 ( ) - 이화여자대학교
KMID : 0355619940200020245
Abstract
This is to report a case of Latissimus Dorsi myocutaneous free flaps used to reconstruct the paralyzed cheek defect. The patient who had been sufferred from congenital facial nerve paralysis and accompanied muscular atrophy showing "horse-face"
mask
appearance was treated by bilateral LD Neuro-Musculo-Cutaneous free flaps.
@ES The clinical applications of LD neuro-muscular free flaps and the results were as follows;
@EN 1. Two LD free flaps(15×3cm) with longer vascular stalk (8,10cm in length) were raised and transferred to both cheeks.
The thoracodorsal arteries feeding the LD-flaps were as big as 1.5~2.5mm in diameter, and the surgical risk of failure in vascular anastomosis could be very low.
Color of the LD-flaps matched good to the facial skin.
Muscle flaps containing the motor nerves responsed to nerve stimuli, but the facial expression could not be recovered due to the prolonged degeneration of proximal facial nerve.
The complications of donor site were minimal, and the function of arms were recovered soon postoperatively.
키워드
원문 및 링크아웃 정보
등재저널 정보