Maxillofacial Plastic and Reconstructive Surgery

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

CRANIOFACIAL RECONSTRUCTION USING VASCULARIZED OUTER TABLE CALVARIAL BONE FLAP : REPORT OF TWO CASES

혈관화 두개골 외층골피판을 이용한 두개안면부 재건

  • Kim, Ki-Young (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Jeong, Seung-Lyong (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Jeong, Joo-Sung (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Kim, Chang-Lyong (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Lee, Seung-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Park, Mun-Seong (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University) ;
  • Ryu, Sun-Youl (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chonnam National University)
  • 김기영 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 정숭룡 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 정주성 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 김창룡 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 이승호 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 박문성 (전남대학교 치과대학 구강악안면외과학교실) ;
  • 유선열 (전남대학교 치과대학 구강악안면외과학교실)
  • Published : 1996.12.31
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Abstract

Vscularized calvarial bone flaps have been useful tools in the reconstuction of different type of bone defects in craniofacial surgery Vascularized bone transfer are often preferred to nonvascularized bone grafts because nonvascularized bone grafts are less resistant to infection, not as mechanically strong, and do not survive well in a poorly vascularized bed. Potential advantages of vascularized outer table calvarial bone flap include proximity to the operative field, membranous origin similar to that of the facial skeleton, maleability which allows for a variety of shapes and sizes, inconspicous donor sit scar. The following are the case reports of two patients who underwent craniofacial reconstruction suing vascularized outer table calvarial bone flap.

전두골 결손과 다발성 안면골 골절의 비유합 및 부정유합으로 인해 심한 안모변형이 초래된 62세의 남자 환자와, 좌측 상악골에 발생한 점액종의 치료를 위해 상악골 전척출술후 안모변형이 예상되는 66세 남자환자에서 동측의 혈관화 두개골 외층골피판으로 재건해 주었다. 이 골피판은 수술부위와 가깝고 막성골이며 흡수가 적어 두개 안면골의 결손이나 변형시에 유용하게 사용될 수 있을 것으로 생각된다.

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