전외측대퇴유리피판 (Anterolateral Thigh Free Flap)을 이용한 구강안면부 결손의 재건
Oro-facial reconstruction with anterolateral thigh(ALT) free flap
김철환, 방대연, 황승연,
소속 상세정보
김철환 ( Kim Cheol-Whan ) - 단국대학교 치과대학 구강악안면외과학교실
방대연 ( Bhang Dae-Yeon ) - 단국대학교 치과대학 구강악안면외과학교실
황승연 ( Hwang Seung-Yeon ) - 단국대학교 치과대학 구강악안면외과학교실
KMID : 0360120090310060526
Abstract
Recently, the anterolateral thigh(ALT) flap , based on the septocutaneous vessels or musculocutaneous perforators from the descending branch of the lateral circumflex femoral artery has gained popularity in head and neck soft-tissue reconstruction. It has some advantages in free-flap surgery with respect to the radial forearm free flap, such as low donor site morbidity, availability of different tissues with large amounts of skin, adaptability as a sensate or flowthrough flap (with the possibility of harvesting a long pedicle with a suitable vessel diameter). Moreover, the thickness of the flap is adjustable until the subdermal fat level, allowing it to be used as a thin or ultrathin flap. This clinical cases are ALT free flap reconstructions without functional impairment of the donor limbs (transitory and permanent) based on anastomosis with superficial temporal arteries and veins in patient of huge resection defect on face, lip and tongue.
키워드
Anterolateral thigh flap;Musculocutaneous perforator;Superficial temporal artery
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