구강악안면재건을 위한 천공지 피판의 적용
Application of Perforator Flap for the Oral and Maxillofacial Reconstruction
김성민, 오진실, 강지영, 명훈, 이종호,
소속 상세정보
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
오진실 ( Oh Jin-Sil ) - 서울대학교 치의학대학원 구강악안면외과학교실
강지영 ( Kang Ji-Young ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 1036320130350030200
Abstract
Over the past few years, a large number of perforator flaps have been revised by several microsurgeons in the USA, France, Canada and Japan. A perforator flap is a flap of skin or subcutaneous tissue that is based on the dissection of a perforating vessel, which is a perforator. In short, a perforator is a vessel that has its origin in one of the axial vessels of the human body. By reducing any muscle harvesting and trauma to a minimum, perforator flaps aim to minimize donor site morbidity, and by avoiding the transfer of dennervated muscle, the long-term bulk of the free tissue transfer becomes more predictable. There are a finite number of potential perforator flaps in the body, which are based on the named source arteries. The most commonly used perforator flaps are deep inferior epigastric perforator, superior gluteal artery perforator, thoraco dorsal artery perforator, medial sural artery perforator, and anterolateral thigh perforator flap. For a better understanding of perforators as a routine reconstructive procedure in oral and maxillofacial surgery, the definition with nomenclature, classifications with special characteristics, and review points for their individual applications must be learned and memorized by the young doctors in the course regarding the special curriculum periods for the Korean national board of oral and maxillofacial surgery. Perforator flaps have been known to have many advantages, so this review article summarized their applications to the maxillofacial reconstruction in the Korean language.
키워드
Deep inferior epigastric perforator;Superior gluteal artery perforator;Thoraco dorsal artery perforator;Anterolateral thigh perforator;Perforators
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