유리피판 및 자가골 이식을 이용한 복합 관골-상악결손 재건의 치험례
Reconstruction of Complex Zygomatico-Maxillary Defect Using the Free Vascularized Cutaneous Flap and Autogeneous Bone Graft: Case Report
박지훈, 장정우, 최소영, 김진수, 권태건,
소속 상세정보
박지훈 ( Park Ji-Hoon ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
장정우 ( Jang Jung-Woo ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
최소영 ( Choi So-Young ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
김진수 ( Kim Chin-Soo ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
권태건 ( Kwon Tae-Geon ) - 경북대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0360120110330010044
Abstract
Maxillary defects are inherently complex because they generally involve more than one midfacial component. In addition, most maxillary defects are composite in nature, and often require bony support, as well as a mucosal lining for reconstruction. Therefore, midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This might be difficult to achieve only with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in a reconstruction but is limited by graft resorption. We report a case of a patient reconstructed with a lateral arm free flap, iliac bone graft, sagital split ramus osteotomy for the reconstruction of a right maxillary defect zygomatico-maxillary defect caused by a zygomatico-maxillary malignant tumor resection.
키워드
Zygomatico-maxillary complex; Bone grafts; Lateral arm flap
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