구강 및 안면재건을 위한 광배근 유리피판의 해부학적 고찰
Anatomical Review of Latissimus Dorsi Free Flap for Oral Cavity and Facial Reconstruction
김성민, 정영언, 어미영, 강지영, 서미현, 김현수, 명훈, 이종호,
소속 상세정보
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
정영언 ( Jung Young-Eun ) - 서울대학교 치의학대학원 구강악안면외과학교실
어미영 ( Eo Mi-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
강지영 ( Kang Ji-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
서미현 ( Seo Mi-Hyun ) - 서울대학교 치의학대학원 구강악안면외과학교실
김현수 ( Kim Hyun-Soo ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0360120110330060549
Abstract
The latissimus dorsi myocutaneous flap (LDMF) was initially described at the turn of the century by Tansini et al, and latissimus dorsi myocutaneous free flap (LDMFF) was also first described for the coverage of a chronically infected scalp by Maxwell et al. As a pedicled flap, LDMF has been often used for breast reconstruction and for soft tissue replacement near the shoulder and the lower reaches of the head and neck. LDMFF is a flat and broad soft tissue flap with large-caliber thoracodorsal vessels for microvascular anastomosis. A skin paddle of the LDMFF can be more than 20x40 cm, so very large defects in the oral cavity and outer facial region can be covered by this LDMFF. Other advantages include consistent vascular anatomy, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with tumor resection. For a better understanding of LDMFF as a routine reconstructive procedure in large defects of the oral cavity and facial legion, anatomical findings must be learned and memorized by young doctors during the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article discusses the anatomical basis of LDMFF with Korean language.
키워드
Latissimus dorsi myocutaneous flap (LDMF); Latissimus dorsi myocutaneous free flap (LDMFF); Thoracodorsal artery; Microvascular anastomosis
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