• Title/Summary/Keyword: 피판술

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SURGICAL MANAGEMENT OF VELOPHARYNGEAL INCOMPETENCE USING SUPERIORLY BASED PHARYNGEAL FLAP (상부기저형 인두피판을 이용한 구개인두 부전증의 외과적 처치)

  • Ann, Jye-Jynn;Chang, Se-Hong;Park, Chi-Hee;Woo, Sung-Do
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.3
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    • pp.338-345
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    • 1991

  • Velopharyngeal incompetence (VPI) is a condition of inadequate functional valving between the oral and nasal cavities that results in hypernasal speech and nasal air escape. VPI is caused by the following factors ; cleft palate, soft palate defect, pharyngomegaly, velopharyngeal sphincter muscle anomaly and maxillary advancement surgery, etc. Velopharyngeal function is assessed by a variety of measures that include speech evaluation, cephalogram, airflow study, videofluoroscopy and nasoendoscopy. The management of VPI is classified into four main groups ; prosthesis, insertion of implant, palatoplasty and pharyngoplasty. Pharyngeal flap is the most common surgical procedure for correcting VPI since Schoenborn's report in 1875. We report seven cases of VPI which were treated by modified modified superiorly based pharyngeal flap with good results.

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Reconstruction of Midface Defect with Latissimus Dorsi Myocutaneous Free Flap (광배근 근피 유리피판술(Latissimus dorsi myoctaneous free flap)을 이용한 상악부 복합조직결손의 치험례)

  • Kim, Jeang-Cheal;Woo, Sang-Hyun;Lee, Tae-Hoon;Choi, See-Ho;Seul, Jung-Hyun
    • Journal of Yeungnam Medical Science
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    • v.7 no.1
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    • pp.173-179
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    • 1990

  • We report 2 cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap. In these cases, the main points to cover the defects were as follows ; 1. For the contour of zygoma and maxilla, it was well preserved without bone graft which was not used for second stage reconstruction. In first case, for application of artificial eye and in second case, for, operation after full development. 2. For the drainage of paranasal sinuses, we made the nostril with skin graft, and it was well preserved without any complications during follow up. 3. It was sufficient to cover the defect with latissimus dorsi muscle well designed before surgery and thick enough to fill the defect. 4. In second case, the remained defect of palate and maxilla was not covered for the appropriate reconstructions after full development. In conclusions, we experienced two cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap without any complication and with good results.

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Reversed Adipofascial Flap for Hindfoot Soft Tissue Defect combined with Open Calcaneal Fracture: A Case Report (개방성 종골 골절과 동반된 후족부 연부조직 결손에서의 역행성 지방근막 피판술: 1예 보고)

  • Ahn, Jae-Hoon;Kang, Jong-Won;Lee, Young-Geun;Choy, Won-Sik
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.1
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    • pp.105-108
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    • 2006

  • Open calcaneal fractures are potentially devastating hindfoot injuries, in which the status of soft tissue envelope is very important. The reversed adipofascial flap has a merit of simplicity and minimal complication compared to free tissue transfer. We report of a case of open calcaneal fracture with soft tissue defect of hindfoot, which was successfully treated with reversed adipofascial flap.

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