Maxillofacial Plastic and Reconstructive Surgery

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

RECONSTRUCTION WITH A VASCULARIZED FREE ILIAC OSTEOMUSCULAR FLAP AFTER HEMIMANDIBULECTOMY FOR OSTEOSARCOMA OF THE MANDIBULAR CONDYLE REGION : A CASE REPORT

하악과두에서 발생한 악성 골육종 환자에서 외과적 절제 후 유리장골이식을 이용한 재건

  • Park, Hong-Ju (Department of Oral and Maxillofacial Surgery, Dental Science Research Institute, School of Dentistry, Chonnam National University) ;
  • Yu, Min-Gi (Department of Oral and Maxillofacial Surgery, Dental Science Research Institute, School of Dentistry, Chonnam National University) ;
  • Kook, Min-Suk (Department of Oral and Maxillofacial Surgery, Dental Science Research Institute, School of Dentistry, Chonnam National University) ;
  • Oh, Hee-Kyun (Department of Oral and Maxillofacial Surgery, Dental Science Research Institute, School of Dentistry, Chonnam National University)
  • 박홍주 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소) ;
  • 유민기 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소) ;
  • 국민석 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소) ;
  • 오희균 (전남대학교 치의학전문대학원 구강악안면외과학교실, 치의학연구소)
  • Published : 2008.07.31
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Abstract

Osteosarcoma of the jaw is a rare malignant bone tumor which usually leads to a poor prognosis. It commonly occurs in young patients, especially in male. The tumor can involve mandible or maxilla with same frequency. The swelling in the involved area and facial deformity are common clinical findings. The pain and sensory changes are also complained by the patients. Although radical surgery plays an important role in the management of this tumor, the adjuvant chemotherapy or radiotherapy is used to enhance local control and to prevent distant metastases. We treated a 22-year-old male patient who had osteosarcoma in the left condylar region. The radical surgery which consisted of hemimandibulectomy and total parotidectomy, was done and an immediate mandibular reconstruction was performed with a vascularized free iliac osteomuscular flap. The obtained results, both esthetic and functional, were satisfactory. The patient was received postoperative chemotherapy. This is a case with reviews of the literatures.

하악골에서 고분화 골육종은 매우 드물게 보고되고 있으며 조직검사상 전형적인 골육종과는 달리 다형성(pleomorphism)을 보이지 않기 때문에 양성종양으로 오진(under-diagnosis) 되기 쉽다. 그러나 정확한 환자의 진단은 적절한 치료와 환자의 예후에 영향을 큰 영향을 미친다. 그러므로 조기에 정확한 진단을 위하여는 의심되는 여러 부위에서 조직검사를 시행하고 임상소견과 방사선소견 등을 병리의사와 공유하여야 한다. 이에 초기에 진단이 어려웠던 하악골에 발생된 고분화 골육종을 경험하여 환자의 사회적 기능적 회복을 위한 수술을 시행하여 바람직한 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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