Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

THE USE OF TISSUE EXPANSION IN SOFT TISSUE RECONSTRUCTION OF THE HEAD AND NECK

조직확장술을 이용한 두경부 연조직 재건

  • Jeong, Jong-Cheol (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Park, Jun-Aa (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Kim, Young-Woon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Jung, Soong-Rhyong (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University) ;
  • Ryu, Sun-Youl (Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonnam National University)
  • 정종철 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 박준아 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 김영운 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 정숭룡 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 이종호 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 류선열 (전남대학교 치과대학 구강악안면외과학교실)
  • Published : 1994.09.30
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Abstract

Tissue expansion has now been widely used in various soft tissue defects and deformities. It is to reconstruct the lesion site by providing donor tissue of the same color, texture, and similar thickness and sensation with minimal scar formation and minor donor site morbidity. It is achieved through using a temporary expander capable of accumulating normal saline. Internal pressure from expander exerts its force on the flap, which gradually expands to provide additional tissue for reconstruction. We have applied tissue expander in three patients. The first case was soft tissue loss on the left forehead. The second case was multiple scar formation on the left mandibular angle and upper cervical area. The third case was scar contraction on the right cheek. All cases have been successfully reconstructed without complications.

저자들은 1예의 전두부 연조직 결손과 2예의 경부와 안면에 형성된 다발성의 반혼구축 환자에서 조직확장술올 이용하여 양호한 두경부의 연조직 재건을 얻을 수 있었다. 다양한 연조직의 결손이나 변형에서 적절한 증례를 선택하여 올바르게 적용할 경우 조직 확장술은 유용한 재건방법이 될 수 있을 것으로 생각된다.

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