구강악안면재건을 위한 비골복합유리피판의 해부학적 고찰
Anatomical Review of Fibular Composite Free Flap for Oral and Maxillofacial Reconstruction
김성민, 조화련, 서미현, 이종호, 명훈,
소속 상세정보
김성민 ( Kim Soung-Min ) - 서울대학교 치의학대학원 구강악안면외과학교실
조화련 ( Cao Hua-Lian ) - 서울대학교 치의학대학원 구강악안면외과학교실
서미현 ( Seo Mi-Hyun ) - 서울대학교 치의학대학원 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
명훈 ( Myoung Hoon ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 1036320130350060437
Abstract
The fibula is one of the most useful sources for harvest of a vascularized bone graft. The fibula is a straight, long, tubed bone, much stronger than any other available bone that can currently be used for a vascularized graft. It has a reliable peroneal vascular pedicle with a large diameter and moderate length. There is a definite nutrient artery that enters the medullary cavity, as well as multiple arcade vessels, which add to the supply of the bone through periosteal circulation. The vascularized fibula graft is used mainly for long segment defects of the long tubed bone of the upper and lower extremities. It can provide a long, straight length up to 25 cm in an adult. The fibula can be easily osteotomized and can be used in reconstruction of the curved mandible. Since the first description as a vascularized free fibula bone graft by Taylor in 1975 and as a mandibular reconstruction by Hidalgo in 1989, the fibula has continued to replace the bone and soft tissue reconstruction options in the field of maxillofacial reconstruction. For the better understanding of a fibular free flap, the constant anatomical findings must be learned and memorized by young doctors during the specialized training course for the Korean National Board of Oral and Maxillofacial Surgery. This article reviews the anatomical basis of a fibular free flap with Korean language.
키워드
Mandibular reconstruction;Microsurgical free flap;Fibular free flap;Peroneal artery
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