• Title/Summary/Keyword: 피판술

Search Result 135, Processing Time 0.025 seconds

하인두 및 경부식도의 재건술;인두위문합술, 전박유리피판술 및 유리공장이식술의 비교

  • 김영호;최은창;홍원표;김은서
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1995.04a
    • /
    • pp.92.2-92
    • /
    • 1995
  • 후두암 및 하인두암의 광역절제후 결손된 하인두 및 경부식도의 재건방법에는 여러 근피판, 인두위 문합이나 유리공장이식술과 같은 소화장기의 이용 및 전박유리피판술 등이 있다. 저자들은 1985년부터 1994년까지 10년간 세브란스병원에서 후두 및 하인두암으로 수술적 치료를 받은 예중 인두위문합술로 재건한 7례, 유리공장이식술로 재건한 9례, 전박유리피판술로 재건한 7례의 치료성적을 후향적으로 고찰하여 하인두 및 경부식도의 재건에 사용할 수 있는 술식들의 치료결과 및 장단점을 알아보고자 하였다. 피판의 생존은 세가지 술식 모두에서 양호하였으며 구강을 통한 식이섭취가 전례에서 가능하였다. 발생한 합병증으로는 인두피부누공, 문합부위의 협착 등이 있었으며 보존적인 방법으로 치유가 가능하였다.

  • PDF

Reconstruction of a Circumferential Penile Shaft Defect Using Bilateral Superficial External Pudendal Artery Perforator Flaps (양측 천외음부동맥 천공지 피판을 이용한 음경둘레 연조직 결손의 재건)

  • Park, Jongohk;Shin, Donghyeok;Choi, Hyungon;Kim, Jeenam;Lee, Myungchul
    • Archives of Hand and Microsurgery
    • /
    • v.23 no.4
    • /
    • pp.296-300
    • /
    • 2018
  • Penile shaft reconstruction requires adequate soft tissue characteristics as well as constant vascular pedicles when considering a perforator flap. The free flap technique using various donor sites and regional conventional and perforator flaps have been utilized for penile shaft reconstruction. Still, the free flap techniques include challenging surgical procedures in addition to postoperative management. The regional flap can be applied to limited defects due to the size and shape. We performed the bilateral superficial external pudendal artery (SEPA) perforator flaps in order to reconstruct a circumferential penile shaft defect. The circumferential wound has noted necrotic tissue involving superficial (Dartos) fascia. We underwent debridement, preserving deep (Buck's) fascia and corpus spongiosum. Thereafter, the soft tissue defect was covered with bilateral SEPA perforator flaps. The patient has been observed for 27 months, showing penile resilience without deformity or wound-related problems.

비복동맥 피판술

  • Han, Su-Bong;Kim, Bo-Hyeon;Gang, Ho-Jeong;Park, Jin
    • 대한미세수술학회:학술대회논문집
    • /
    • 2001.11a
    • /
    • pp.209-209
    • /
    • 2001
  • PDF

Repair of the Traumatic Oronasal Communication in a Dog with a Palatal Prosthesis : a Case Report (개에서 창상성 구비강 개통의 아크릴 부목을 이용한 치유 증례)

  • Shim, Kyung-Mi
    • Journal of Veterinary Clinics
    • /
    • v.26 no.6
    • /
    • pp.641-643
    • /
    • 2009
  • A 5-year-old intact female mixed dog was admitted to the Veterinary Teaching Hospital for reconstructive surgery of traumatic oronasal communication in the palatal region after suffering a facial gunshot injury. The surgical procedure involved making buccal mucosal flaps as well as a transposition flap of the hard palate mucoperiosteum from the tissue adjacent to the defect, followed by applying a prosthetic appliance to protect the surgical flaps. A satisfactory outcome was obtained using a palatal prosthesis.

욕창의 외과적 치료

  • Lee, Dae-Hun;Jeong, Yeong-Sik;Choe, Si-Ho;Seol, Jeong-Hyeon
    • Journal of Yeungnam Medical Science
    • /
    • v.2 no.1
    • /
    • pp.31-37
    • /
    • 1985
  • 욕창의 발생부위에 따른 수술방법 중 천골부 욕창의 치료에는 천골절골이 필요한 깊은 경우에는 대둔근피판술이, 갚지는 앓으나 광범위한 욕창일 경우에는 하둔대퇴피판술이 가장 성적이 좋았다. 대전자부 욕창의 치료에는 대퇴근막장근근피판술이 가장 성적이 좋았으며, 슬관절부 욕창의 치료에는 비복근판술 후 피부이식방법이 좋은 결과를 초래하였으며, 종골부 창상치료에는 발꿈치의 외후면 재건시는 lateral calcaneal flap이 좋으며, 종골절골이 필요치 않은 heel pad 재건시는 족저부 근막피판술이, 종골절골이 필요한 heel pad 재건에는 족지단골근근판술이 가장 좋은 성적을 가져 왔기에 문헌고찰과 함께 보고하는 바이다.

  • PDF

Principles of Microflap Surgery in Laryngomicrosurgery (후뒤세수술에서 미세피판술의 원칙)

  • Kwon, Tack-Kyun;Son, Hee-Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
    • /
    • v.21 no.2
    • /
    • pp.105-111
    • /
    • 2010
  • The vibratory or phonating surface of the human vocal folds is a complex layered structure. Benign vocal fold lesions arise primarily within the lamina propria of the vocal folds and produce dysphonia by disrupting the normal layered architecture of the phonating surface. Therefore, treatment is aimed at excision of the lesion with restoration of the normal layered architecture. The core principle of the Microflap approach is that conservative removal of submucosal pathology with preservation of overlying normal epithelium and superficial lamina propria. Microflap approach is an essential component of most phnomicrosurgical procedures and is a challenging surgical task that requires patience, appropriate instrumentation, surgical skill, and experience. The authors reviewed surgical principles of Microflap technique, instrumentation and surgical tips that could be useful for the beginners who tried to try Microflap technique for the treatment of benign vocal fold mucosal lesions.

  • PDF