구강악안면재건을 위한 전외측대퇴피판의 해부학적 고찰
Anatomical Review of Anterolateral Thigh Flap for the Oral and Maxillofacial Reconstruction
김성민, 오진실, 명훈, 이종호, 박정민,
소속 상세정보
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
오진실 ( Oh Jin-Sil ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
박정민 ( Park Jung-Min ) - 서울대학교 치의학대학원 치학연구소
KMID : 1036320130350040265
Abstract
The anterolateral thigh flap (ALTF) is a versatile fasciocutaneous or myocutaneous flap, which can be harvested incorporating several skin islands and muscle components. The perforator of the ALTF is usually derived from the descending or transverse branch of the lateral circumflex femoral artery, and these vessels are based mainly on musculocutaneous perforators traversing the vastus lateralis muscle, and also based on the septocutaneous vessels running in between the rectus femoris and vastus lateralis muscle. Despite its usefulness for the oral cavity reconstruction, anatomic variations of these nutrient vessels, such as three main branches of ALTF and its relations with sartorius, vastus lateralis, tensor fasciae latae and rectus femoris muscle, have been reconstructive surgeons to be hesitated for the selection of ALTF. For the better understanding of ALTF as a routine reconstructive procedure in oral and maxillofacial surgery, various anatomical findings must be learned and memorized by 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 vascular anatomy and relavant anatomical variations of ALTF with Korean language.
키워드
Anterolateral thigh flap;Lateral circumflex femoral artery;Rectus femoris muscle;Vastus lateralis muscle;Microvascular anastomosis
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