대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제25권3호
  • /
  • Pages.133-140
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  • 2024
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Comparison of local flaps versus skin grafts as reconstruction methods for defects in the medial canthal region

  • Min Hak Lee (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) ;
  • Hoon Soo Kim (Biomedical Research Institute, Pusan National University Hospital) ;
  • Yong Chan Bae (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
  • 투고 : 2024.05.05
  • 심사 : 2024.06.11
  • 발행 : 2024.06.20
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초록

Background: The medial canthal region features a complex three-dimensional and internal anatomical structure. When reconstructing a defect in this area, it is crucial to consider both functional and aesthetic aspects, which presents significant challenges. Generally, local flaps are preferred for reconstruction; however, skin grafts can be used when local flaps are not feasible. Therefore, we conducted a comparative analysis of surgical outcomes skin grafts when local flaps were not feasible, to determine which surgical method is more effective for medial canthal region reconstruction. Methods: Twenty-five patients who underwent medial canthal region reconstruction using skin grafts or local flaps from 2002 to 2021 were enrolled. Patient information was obtained from medical records. Five plastic surgeons evaluated the surgical outcomes based on general appearance, color, contour, and symmetry. Results: Skin grafts were used in eight patients and local flaps were used in 13. Combined reconstructions were employed in four cases. Minor complications arose in four cases but improved with conservative treatment. No major complications were reported. Recurrence of the skin cancer was noted in two cases. All categories showed higher scores for the local flap compared to both skin graft and combined reconstruction; however, the differences were not statistically significant respectively. Conclusion: The choice of appropriate surgical methods for reconstructing defects in the medial canthal region depends on various factors, including the patient's overall health, the size and depth of the defect, and the degree of involvement of surrounding structures. When a local flap is not feasible, a skin graft may provide favorable surgical outcomes. Therefore, a skin graft can serve as a viable alternative for reconstructing the medial canthal region.

키워드

과제정보

The author would like to thank Dr. Joo Hyoung Kim, Dr. Seong Hwan Bae, Dr. Hyung Joon Seo, Dr. Changryul Claud Yi, and Dr. Ryuck Seong Kim for their assistance in evaluating the surgical outcomes based on general appearance, color, contour, and symmetry.

참고문헌

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