Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Mandibularl Reconstruction with Various Methods Including Iliac and Fibular Osteocutaneous free Flaps

유리 피판술을 포함한 다양한 방법의 하악골의 재건술

  • Kim, In Chul (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Minn, Kyoung Won (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Kim, Chin Whan (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Park, Chul Gyoo (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Lee, Yoonho (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Kim, Suk Wha (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Kwon, Sung Tack (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Kim, Ji Hyuk (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Lee, Min Goo (Department of Plastic and Reconstructive Surgery, Boramae Hospital)
  • 김인철 (서울대학교병원 성형외과) ;
  • 민경원 (서울대학교병원 성형외과) ;
  • 김진환 (서울대학교병원 성형외과) ;
  • 박철규 (서울대학교병원 성형외과) ;
  • 이윤호 (서울대학교병원 성형외과) ;
  • 김석화 (서울대학교병원 성형외과) ;
  • 권성택 (서울대학교병원 성형외과) ;
  • 김지혁 (서울대학교병원 성형외과) ;
  • 이민구 (보라매병원 성형외과)
  • Published : 2000.05.31
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Abstract

Reconstruction of the composite mandibular defect resulting from ablative resection of tumor involved jaw has been challenging task to the plastic surgeon. A wide variety of different techniques were used with limited success until the advent of microsurgery. The high success rate of microsurgical procedures has allowed for significant improvement in both functional and aesthetic results. A variety of free flap donor sites have been used successfully for mandibular reconstruction. Between April of 1991 and August of 1998, 20 mandibular reconstructions were performed for oncologic defects. 4 patients underwent mandibular reconstruction with pectoralis major flap, 3 patients with free nonvascularized bone graft, 1 patient with metal plate. 12 patients underwent microvascular mandibular reconstruction(8: fibula, 4: ilium). The type of free flap was determined by the requirements of the defect. Satisfactory aesthetic and functional results were achieved in all cases without significant complications. So microvascular mandibular reconstruction should be considered as primary choice in all mandibular defect without hesitation.

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