유리전완피부피판의 혈관변이로 인해 전외측 대퇴유리피판을 대체 적용한 구강 내 재건 증례
Reconstruction with Anterolateral Thigh Free Flap in Substitute for Radial Forearm Free Flap with Vascular Variation
윤상용, 김성희, 송재민, 이주민, 김욱규, 남수봉,
소속 상세정보
윤상용 ( Yoon Sang-Yong ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
김성희 ( Kim Sung-Hee ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
송재민 ( Song Jae-Min ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
이주민 ( Lee Ju-Min ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
김욱규 ( Kim Uk-Kyu ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
남수봉 ( Nam Su-Bong ) - 부산대학교 의학전문대학원 성형외과학교실
KMID : 1036320130350040248
Abstract
Reconstruction techniques of orofacial defects caused by wide excision of the intraoral malignant lesions are various. Although radial forearm free flap is a common donor site on reconstruction of soft tissue defect, anterolateral thigh (ALT) free flap also has an established site in orofacial soft tissue reconstruction as the favored donor flap with recent progress of the microsurgical technique. A 59-year-old female complained of hyperplastic mass on the right retromolar and buccal cheek, which was diagnosed as a squamous cell carcinoma (SCC) by an incisional biopsy. Before the operation, we planned a wide excision of the SCC lesion, supraomohyoid neck dissection, reconstruction with radial forearm free flap (RFFF), and split thickness skin graft. We accidentally found an arterial variation of the forearm area during elevation of RFFF, and changed the plan of reconstruction operation to reconstruction with ALT free flap. Operative sites was healed well during the post-operative period, and we referred to the department of radiation oncology for post-operative radiotherapy.
키워드
Radial artery;Free flap;Anatomical variation;Reconstruction
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