대한치과의사협회지 (The Journal of the Korean dental association)

  • 제48권8호
  • /
  • Pages.607-614
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  • 2010
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

구강암 환자의 재건술

Reconstruction of oral cancer patients

  • 유상일 (울산대학교 의과대학 서울아산병원 구강악안면외과) ;
  • 안강민 (울산대학교 의과대학 서울아산병원 구강악안면외과)
  • Yoo, Sang-Il (Department of oral and maxillofacial surgery, college of medicine, university of Ulsan, Seoul Asan medical center) ;
  • Ahn, Kang-Min (Department of oral and maxillofacial surgery, college of medicine, university of Ulsan, Seoul Asan medical center)
  • 투고 : 2010.07.28
  • 심사 : 2010.08.24
  • 발행 : 2010.08.01
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초록

Reconstruction after ablative oral cancer surgery is challenging mission. Soft tissue and hard tissue could be resected in case of advanced oral cancer. The final goal of oral reconstruction is to gain normal swallowing, chewing and speech. Nowadays, free flap reconstruction after oral cancer resection is more popular than pedicled flap. Microsurgical reconstruction with free flap could be used effectively in complicated cases of oral cavity defect. However, complications could be happened. So not only meticulous preoperative study about the extent of defects but also the donor site dressing after surgery were performed to prevent postoperative complication. The most favorite free flap for soft tissue reconstruction is radial forearm flap. It has a lot of advantages such as pliable, hairless, reliable vessels, appropriate diameter of radial artery and diverse flap design. And the most popular free flap for jaw reconstruction is free fibular flap. In this article, we report the classification of flap for reconstruction and reveal the pits and falls of radial forearm free flap and free fibular flap.

키워드

참고문헌

  1. 안강민 이종호 대한악안면성형재건외과학. 유리피판. 서울：도서출판의치학사; 2009. p. 425-47.
  2. Shah JP, Gil Z. Current concepts in management of oral cancer--surgery. Oral Oncol 2009;45(4-5):394-401. https://doi.org/10.1016/j.oraloncology.2008.05.017
  3. Ahn KM, Lee JH, Hwang SJ, Choung PH, Kim MJ, Park HJ, et al. Fabrication of myomucosal flap using tissue-engineered bioartificial mucosa constructed with oral keratinocytes cultured on amniotic membrane. Artif Organs 2006;30(6):411-23. https://doi.org/10.1111/j.1525-1594.2006.00236.x
  4. Soutar DS, Scheker LR, Tanner NS, McGregor IA. The radial forearm flap：a versatile method for intra-oral reconstruction. Br J Plast Surg 1983;36(1):1-8. https://doi.org/10.1016/0007-1226(83)90002-4
  5. Matthews RN, Hodge RA, Eyre J, Davies DM, Walsh-Waring GP. Radial forearm flap for floor of mouth reconstruction. Br J Surg 1985;72(7):561-4. https://doi.org/10.1002/bjs.1800720721
  6. Matthews RN, Fatah F, Davies DM, Eyre J, Hodge RA, Walsh-Waring GP. Experience with the radial forearm flap in 14 cases. Scand J Plast Reconstr Surg 1984;18(3):303-10. https://doi.org/10.3109/02844318409052855
  7. Lee JW, Jang YC, Oh SJ. Esthetic and functional reconstruction for burn deformities of the lower lip and chin with free radial forearm flap. Ann Plast Surg 2006;56(4):384-6. https://doi.org/10.1097/01.sap.0000200283.03650.e3
  8. Lee JT, Cheng LF, Chen PR, Wang CH, Hsu H, Chien SH, et al. Bipaddled radial forearm flap for the reconstruction of bilateral buccal defects in oral submucous fibrosis. Int J Oral Maxillofac Surg 2007;36(7):615-9. https://doi.org/10.1016/j.ijom.2007.02.015
  9. Harii K, Ebihara S, Ono I. Radial forearm flap in reconstruction following surgery for head and neck cancers. Auris Nasus Larynx 1985;12 Suppl 2:S44-7. https://doi.org/10.1016/S0385-8146(85)80027-4
  10. de Vicente JC, de Villalain L, Torre A, Pena I. Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy：a functional assessment of radial forearm versus anterolateral thigh flap. J Oral Maxillofac Surg 2008;66(11):2270-5. https://doi.org/10.1016/j.joms.2008.01.018
  11. Collyer J, Goodger NM. The composite radial forearm free flap：an anatomical guide to harvesting the radius. Br J Oral Maxillofac Surg 2005;43(3):205-9. https://doi.org/10.1016/j.bjoms.2004.10.012
  12. Gal TJ, Jones KA, Valentino J. Reconstruction of the through-and-through oral cavity defect with the fibula free flap. Otolaryngol Head Neck Surg 2009;140(4):519-25.
  13. Slough CM, Woo BM, Ueeck BA, Wax MK. Fibular free flaps in the management of osteomyelitis of the mandible. Head Neck 2008;30(11):1531-4. https://doi.org/10.1002/hed.20801
  14. Kalavrezos N, Baldwin DJ, Walker DM. Giant neglected ameloblastoma：single stage treatment and clinicopathological review. Br J Oral Maxillofac Surg 2008;46(7):591-3. https://doi.org/10.1016/j.bjoms.2008.02.001
  15. Guo L, Ferraro NF, Padwa BL, Kaban LB, Upton J. Vascularized fibular graft for pediatric mandibular reconstruction. Plast Reconstr Surg 2008;121(6):2095-105. https://doi.org/10.1097/PRS.0b013e3181712399
  16. Kim DD, Dreher MA. The fibula free flap in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am 2007;15(1):13-22. https://doi.org/10.1016/j.cxom.2006.11.001