구강악안면재건을 위한 복직근 유리피판의 해부학적 고찰
Anatomical Review of Rectus Abdominis Muscle Free Flap for the Oral and Maxillofacial Reconstruction
박정민, 서미현, 김성민, 강지영, 명훈, 이종호,
소속 상세정보
박정민 ( Park Jung-Min ) - 서울대학교 치의학대학원 치학연구소
서미현 ( Seo Mi-Hyun ) - 서울대학교 치의학대학원 구강악안면외과학교실
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
강지영 ( Kang Ji-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0360120120340050367
Abstract
Midfacial reconstruction following resection of extensive malignant oral cavity tumors constitutes a challenging problems for reconstructive surgeons. Rectus abdominis muscle free flap (RAMFF) can be considered as the optimal reconstructive option in this case, because this flap has some advantages including consistent deep inferior epigastric artery anatomy, easy to dissect with well defined skin boundaries, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with oral cancer ablation surgery. The rectus abdominis muscle forms an important part of the anterior abdominal wall and flexes the vertebral column, which is a long strap-like muscle divided transversely by three tendinous intersections, fibrous bands which are adherent to the anterior rectus sheath, which is thickly enclosed by the rectus sheath, except for the posterior part below the arcuate line that is usually located midway between the umbilicus and symphysis pubis. Below the arcuate line, this muscle lies in direct contact with the transversalis fascia and parietal peritoneum. For the better understanding of RAMFF as a routine reconstructive procedure in oral and maxillofacial surgery, the constant anatomical findings muse be learned and memorized by the young doctors in the course of the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article will discuss the anatomical basis of RAMFF with Korean language.
키워드
Rectus abdominis muscle free flap (RAMFF);Deep inferior epigastric artery (DIEA);Midface defect;Microvascular anastomosis
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