유리 소장이식을 이용한 구강내 결손부위의 수복 증례보고 및 문헌고찰
Free jejunal flap for intraoral reconstruction cases report & Literature review
소속 상세정보
강보원
김성문/임재석/권종진/최성원/이동근/민승기
KMID : 0360119940160020113
Abstract
Large oral defects following tumor resection pose a formidable challenge for the reconstructive surgeon. Ideally, wound closure should utilize like tissue in providing expedient, single-stage closure, returnig maximum function while minimizing
deformity.
Recent methods hove reported and utilize variable mucocutaneous flaps. However, the ideal reconstruction has yet to defined. The small bowel serves as a readily available donor site for satisfying reconstructive needs in oropharyngeoesophageal
defects.
Segments of jejunum may be opened along the antimesenteric border and transferred to oral defect as free tissue transfers. Some of the benefits of this technique have included a one-stage procedure, abundant donor tissue with characteristics
similar to
oral mucosa, near normal facial appearance, preservation of maximum tongue function and relief of annoying xerostomia b jejunal mucous secretion. Three cases are presented in which two cases show successful use of this flap. The other one patient
developed total necrosis of this flap. We report cases of reconstruction using free jejunal flap transfer in oral reconstruction.
키워드
원문 및 링크아웃 정보
등재저널 정보