Maxillofacial Plastic and Reconstructive Surgery
- 제20권3호
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- Pages.263-268
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- 1998
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
구강암 적출후 경부 도상 피판을 이용한 구강내 결손부의 재건 -3 치험례-
THE CERVICAL ISLAND FLAP FOR INTRAORAL RECONSTRUCTION FOLLOWING EXCISION OF ORAL CANCER -REPORT OF 3 CASES-
- 이성근 (고신의대, 구강악안면외과학교실) ;
- 임종수 (고신의대, 구강악안면외과학교실) ;
- 김경현 (고신의대, 구강악안면외과학교실) ;
- 전소연 (고신의대, 구강악안면외과학교실) ;
- 조영성 (고신의대, 구강악안면외과학교실) ;
- 신상훈 (동아의대, 구강악안면외과학교실) ;
- 조영철 (부산치대, 구강악안면외과학교실) ;
- 성일용 (부산치대, 구강악안면외과학교실) ;
- 김욱규 (부산치대, 구강악안면외과학교실) ;
- 김종렬 (부산치대, 구강악안면외과학교실) ;
- 정인교 (부산치대, 구강악안면외과학교실) ;
- 양동규 (부산치대, 구강악안면외과학교실)
- LEE, Seong-Geun (Dept of Oral & Maxillofacial Surgery, Kosin Medical College) ;
- LIM, Jong-Soo (Dept of Oral & Maxillofacial Surgery, Kosin Medical College) ;
- KIM, Kyung-Hyun (Dept of Oral & Maxillofacial Surgery, Kosin Medical College) ;
- JEON, So-Yeun (Dept of Oral & Maxillofacial Surgery, Kosin Medical College) ;
- CHO, Young-Sung (Dept of Oral & Maxillofacial Surgery, Kosin Medical College) ;
- SHIN, Sang-Hun (Dept of Oral & Maxillofacial Surgery, Dong-A Medical College) ;
- CHO, Young-Cheol (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
- SUNG, Iel-Yong (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
- KIM, Uk-Kyu (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
- KIM, Jong-Ryoul (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
- CHUNG, In-Kyo (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University) ;
- YANG, Dong-Kyu (Dept of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University)
- 투고 : 1998.07.14
- 심사 : 1998.08.14
- 발행 : 1998.09.30
초록
이상에서 저자 등은
Many myocutaneous flaps have been used for the reconstruction of intraoral defects caused by the excision of oral cancer. Among these myocutaneous flaps, cervical island flap has been introduced by Farr et al. Although different in detail, this flap was designed as the platysma myocutaneous flap by Futrell et al in the supraclavicular site. Since many authors applied this flap to cover intraoral defect, they discussed deeply the blood supply of this flap. To improve further flap survival, it was modified by Tashiro et al. This flap makes its vascularity highly reliable. The amount of tissue needed for reconstruction can be accurately planned. The surgical and reconstruction procedure can be performed simply, rapidly, and effectively. Oral functions including deglutition, speech, and denture fitting are not compromised. With it's minimal deformity, new donor fields is not necessory. Of course, we keep in mind that this flap has limitations in patients where much bulk of tissue defects is needed and more than 3000 rad radiation due to the metastasis of neck lymph node is exposed. In three patients with intraoral squamous cell carcinoma(