Archives of Reconstructive Microsurgery
- Volume 9 Issue 2
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- Pages.172-178
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- 2000
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Reconstruction of the Face Defects Using Posterior Interosseous Artery Forearm Free Flap
전완부 후골간 동맥 유리피판술을 이용한 안면부 조직 결손 재건 치험례
- Seo, Seung Bum (Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital) ;
- Lee, Sang Won (Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital) ;
- An, Tae Whang (Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital) ;
- Jung, Sung Gyun (Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital) ;
- Kim, Chang Hyun (Department of Plastic and Reconstructive Surgery, Seoul Red Cross Hospital)
- 서승범 (서울적십자병원 성형외과) ;
- 이상원 (서울적십자병원 성형외과) ;
- 안태황 (서울적십자병원 성형외과) ;
- 정성균 (서울적십자병원 성형외과) ;
- 김창현 (서울적십자병원 성형외과)
- Published : 2000.10.31
초록
With esthetic concern in the reconstruction of skin and soft tissue defects of face, the use of local flap has been the method of choice. However, when there is extensive tissue loss in the face, local flaps do not provide satisfactory results. The amazing development of microsurgical technique has decreased the percentage of free flap failure, thus making free flap use in reconstruction of facial soft tissue defects. Many free flaps has been applied for reconstruction of face defects. Especially, the radial forearm flap has numerous advantages with which facial reconstruction is made possible. But, its disadvantages are ; the sacrifice of one major artery supplying the hand and donor site complications. In order to circumvent these disadvantages, we employed posterior interosseous artery(PIA) forearm free flap for the reconstruction of the face defects. The posterior interosseous forearm island flap was first described by Zancolli and Angrigiani(1985). Currently, the PIA island flap and free flap have been used for hand reconstructions. The disadvantages of the PIA flap are ; the small caliber of the pedicle, different locations of the perforating branches, and the proximity of the motor branch of the radial nerve. But, its advantages lies in preserving the major artery of the hand, minimal donor site morbidity, and fairly well matched skin texture and color, and that the flap volume is sufficient, not too bulky with convenient handling. By using this flap, we performed 1 case of tumor resection and 1 case of traumatic defect. From our experiences we conclude that it is one of many useful methods in the reconstruction of the skin and soft tissue defects of the face. We also have discussed advantages and some limitations of various free flaps for reconstruction of the face.