구강내 연조직 결손부 재건시 유리 전완 피판(Radial Forearm Free Flap)의 유용성
Availability of radial forearm free flap in reconstruction of intraoral soft tissue defects: review of 50 cases.
김남균, 서동준, 박세현, 김형준, 차인호, 남웅,
소속 상세정보
김남균 ( Kim Nam-Kyun ) - 연세대학교 치과대학 구강악안면외과학교실
서동준 ( Seo Dong-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
박세현 ( Park Se-Hyun ) - 연세대학교 치과대학 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
차인호 ( Cha In-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
남웅 ( Nam Woong ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0360120080300040353
Abstract
Purpose: The purpose of this clinical retrospective study was to evaluate our experience of radial forearm free flap for reconstruction of the oral cavity.
Materials and Methods: From 1997 to 2006, 50 radial forearm free flaps were employed for head and neck reconstruction in 50 patients at department of oral and maxillofacial surgery, Yonsei University, Korea. Data were obtained from chart review, and clinical follow-up.
Results: Patients’age ranged from 26 to 82 years (mean 53.2). There were 39 men and 11 women. 43 of the 50(86%) patients had squamous cell carcinoma. The total flap survival were 47(94%), complication rate were revealed for 15(30%).
Conclusion: In the reconstruction of soft tissue within the oral cavity, several free flaps have been used. Because of its constant anatomy, long pedicle allows a hypothetic vascular anastomosis in the contralateral neck, contourability for various type of oral defects, pliability and can be used simultaneous reconstruction in intraoral and extra oral defects, the radial forearm free flap constitutes one of the best choice of intraoral soft tissue reconstruction.
키워드
Radial forearm free flap;Intraoral defect;Oral cavity reconstruction
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