터널화 안면동맥 협부 근점막 도피판을 이용한 구개상악 결손의 재건: 증례보고
Tunnelized-facial Artery Myomucosal Island Flap (t-FAMMIF) for Palatomaxillary Reconstruction: A Report of Two Cases
류다정, 장효원, 박혜정, 김형준, 차인호, 남웅,
소속 상세정보
류다정 ( Ryu Da-Jung ) - 강남세브란스 치과병원 구강악안면외과
장효원 ( Jang Hyo-Won ) - 연세대학교 치과대학 구강악안면외과학교실
박혜정 ( Park Hye-Jeong ) - 연세대학교 치과대학 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 연세대학교 치과대학 구강악안면외과학교실
차인호 ( Cha In-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
남웅 ( Nam Woong ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 1036320130350020100
Abstract
There are many challenges for reconstruction after intraoral tumor resection. Especially, palatomaxillary reconstruction has two primary goals: closure of the oronasal communication and re-creation of proper myomucosal function. Prosthodontic treatment using obturator and several surgical procedures are selected depending on the size and site of the defect, the difficulty of operative procedure, operation time and donor site problem. Above all, it is considered that radial forearm free flap is the first choice for palatal reconstruction. Our department introduces a novel method using tunnelized-facial artery myomucosal island flap for palatomaxillary defect reconstruction, which can successfully reduce donor-site morbidity, and duration of surgery and hospitalization.
키워드
Surgical flap;Facial artery myomucosal island flap;Buccinator myomucosal island flap;Cheek mucosa flap;Oral reconstruction
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