구강저에 발생한 편평세포암에서 심장골회선동맥피판을 이용한 재건의 치험례
Reconstruction with Deep Circumflex Iliac Artery Flap on Squamous Cell Carcinoma on the Floor of the Mouth: Case Report
장한성, 김수관, 문성용, 오지수, 윤영은,
소속 상세정보
장한성 ( Jang Han-Seung ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
김수관 ( Kim Su-Gwan ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
문성용 ( Moon Seong-Yong ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
오지수 ( Oh Ji-Su ) - 조선대학교 치의학전문대학원 구강악안면외과학교실
윤영은 ( Yun Yeong-Eun ) - 선치과병원 구강악안면외과
KMID : 0360120110330060525
Abstract
A deep circumflex iliac artery (DCIA) flap is usually used for reconstruction in oral and maxillo-facial surgery department since introduced by O’Brien in 1975. Various flap designs are possible for osteomusculocutaneous, musculocutaneous, musculosseous and vascularized bone types. Iliac crest shape is similar to contour of mandible. Moreover, though a fibular flap has only 15∼20 mm of cutting plane width, a DCIA flap contains much more bone amount, making this a similar reconstruction compare with normal mandible. A 68 year-old male with squamous cell carcinoma on the anterior floor of the mouth had an impression with T2N0Mx and the treatment procedure was DCIA reconstruction after wide resection and marginal mandibulectomy, with both supraomohyoid neck dissection. We present an experience of DCIA flap for reconstruction with a literature review
키워드
Cancer; Disseminated intravascular coagulation; Surgical flaps
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