Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지

Reconstruction of the Maxillary and Cheek Skin Defect with Folded Latissimus Dorsi Free Flap : A Report of One Case

협부피부를 침범한 상악암에서 광범위 절제술 후 광배근 이중도서형 유리피판을 이용한 재건술 1예

  • Kwon Yun-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Seo Kyu-Hwan (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Lee Seung-Hoon (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine) ;
  • Dhong Eun-Sang (Department of Plastic & Reconstruction Surgery, Korea University College of Medicine) ;
  • Kwon Soon-Young (Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine)
  • 권윤환 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 서규환 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 이승훈 (고려대학교 의과대학 이비인후-두경부외과학교실) ;
  • 동은상 (고려대학교 의과대학 성형외과학교실) ;
  • 권순영 (고려대학교 의과대학 이비인후-두경부외과학교실)
  • Published : 2004.05.01
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Abstract

An advanced maxillary sinus cancer requires an extensive ablation that results an extensive facial deformity, including a skin defect. Reconstruction has to be considered in a radical maxillectomy, especially with skin defect may be accomplished in one stage with a microsurgical free transfer of a latissimus dorsi flap. A man of right maxillary sinus cancer, squamous cell carcinoma, 47 years old of age, had soft tissue invasion of the cheek region. He underwent a radical maxillectomy with extensive skin excision. The maxillectomy and skin defects were reconstructed with the double skin island latissimus dorsi myocutaneous free flap. The cosmetic result and the functional outcome of the nose were thought to be considerably satisfied.

Keywords

References

  1. Lee SH, Shim YS, Oh KK, Lee YS, Kim ST, Choi JH : A Clicical Study of Squamous Cell Carcinoma of the Maxillary Sinus. Korean J Otolaryngol. 1997 Nov ; 40 (11) : 1564-1570
  2. Yoon JH, Choi EC, Lee HB, Choi JW, Lee JG : Free latissimus dorsi myocutaneous flap for the large orbital-maxillary defects after extended radical maxillectomy. Korean J Otolaryngol. 1995 ; 38 : 928-932
  3. Koh JW, Kim HJ, Oh JH, Kim BC : Rectus Abdominis Free Flap Reconstruction for Orbital-Maxillary Defect in Advanced Maxillary Sinus Cancer. Korean J Otolaryngol. 1998 ; 41 (I2) : 1626-1632
  4. Earley MJ : Primary maxillary reconstruction after cancer excision. Br J Plast Surg. 1989 Nov ; 42 (6) : 628-637 https://doi.org/10.1016/0007-1226(89)90073-8
  5. Swartz WM, Banis JC, Newton ED, Ramasastry SS, Jones NF, Acland R : The osteocutaneous scapular flap for mandibular and maxillary reconstruction. Plast Reconstr Surg. 1986 ; 77 : 530-545 https://doi.org/10.1097/00006534-198604000-00003
  6. Obwegeser HL : Late reconstruction of large maxillary defects after tumor resection. J Maxillofac Surg. 1973 ; 1 : 19-27 https://doi.org/10.1016/S0301-0503(73)80008-6
  7. Taylor GI, Daniel RK : The anatomy of several free flap donor site. Plast Reconstr Surg. 1975 ; 56 : 243-248 https://doi.org/10.1097/00006534-197509000-00001
  8. Masao K, Masakazu F, Ko H, et al : Functional Recunstruction of Maxilla with Free Latissimus Dorsi-Scapular Osteomusculocutaneous Flap. Plast Reconstr Surg. 2002 Apr 1 ; 109 : 1238-1244 https://doi.org/10.1097/00006534-200204010-00004
  9. Vedran D, Miso V, Sinisa V, Predrag K, Aleksandar M : Reconstruction following radical maxillectomy with flaps supplied by the subscapular artery. J Cranio-Maxillofacial Surg. 2000 ; 28 : 153-160 https://doi.org/10.1054/jcms.2000.0137