• Archives of Reconstructive Microsurgery
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• v.6 no.1
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• pp.80-86
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• 1997

The lateral arm flap was reported first by Song et al. in 1982, and Katsaros and colleagues described an anatomic study and clinical cases in 1984. This flap is thin, has relatively constant vascular anatomy, and provides relatively acceptable scar at the donor site. Despite its many advantages its wide application has been limited by its short vascular pedicle with small diameter of lumen, and its small skin paddle. We studied its anatomical structure to get longer length of vascular pedicle, wide diameter and thinner part of flap beyond the lateral condyle through 6 fresh cadaver dissection and dye injection study. We experienced 21 cases of lateral arm free flaps and 26 cases of forearm free flaps from May, 1992 to January, 1996. We compared its usefulness with forearm free flaps in the aspects of donor morbidity, operative factors, quality of flap, and versatility. In conclusion, lateral arm flap can replace the role of forearm flap in most cases so that patient's donor morbidity can be reduced especially in the women.

• Archives of Reconstructive Microsurgery
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• v.12 no.2
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• pp.99-104
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• 2003

Liposuction is a useful method for debulking free flap. Recently, ultrasound assisted liposuction(UAL) has been reported to have many advantages over conventional suction-assisted lipectomy. We applied the UAL to debulk free fasciocutaneous flap of the forehead and lower extremities. The result was satisfactory and there was no significant complications worth noting. Although the cost can be expensive, it has many advantages such as less blood loss, larger amount of fat aspirate and better skin contraction. We can conclude that UAL can be a useful alternative method to debulk free fasciocutaneous flap.

• Korean Journal of Head & Neck Oncology
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• v.28 no.1
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• pp.50-53
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• 2012

Advanced cancer of the oral cavity has been treated with wide excision in conjunction with mandibulectomy and neck dissection. This has resulted in significant mandibulofacial defects with functional and cosmetic significance. Therefore, proper mandibular reconstruction is very important for physiologic and esthetic restoration. The risk factors of free flap reconstruction have been reported including obesity, age, smoking, previous irradiation, and systemic vascular disease. We recently experienced a case of donor site necrosis after fibular osteocutaneous free flap in oral cavity cancer.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.29 no.6
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• pp.455-459
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• 2003

The Reconstructive techniques of palatal defect are palatal island flap, palatal mucoperiosteal expansion, buccal flap, tongue flap, pushback palatoplasty, free flap and so on. We report a reconstruction of palatal defect using palatal flap. Excellent results were obtained by palatal connective tissue island flap and split thickness pedicle flap. Healing of defect occured rapidly. There were no postoperative complications except dull pain.

• The Journal of the Korean dental association
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• v.46 no.1 s.464
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• pp.26-33
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• 2008

이상과 같이 자가골 이식을 할 때 주의하여야 할 점들을 다루어 보았다. 중요한 것은 어떤 재료를 선택하는 것이 좋은 지가 아니라, 언제 어느 재료로 무슨 방법으로 이식할 것인 지를 결정하는 것이 중요하다. 골이식 수술중에 중요하게 지켜야 할 술기는 피판의 형성과 이식골의 철저한 고정이며 이것이 지켜졌을 때 최대의 효과를 기대할 수 있으며 후유증이나 합병증을 막을 수 잇다. 또한 골이식과 같은 민감한 수술은 모든 조직을 보다 부드럽게 다루어야 한다. 피판을 형성하거나 젖힐 때에도 함부로 당기거나 하여 피판이 찢어지거나 손상받지 않게 하여야 한다. 살아있는 조직을 채취하여 옮기는 이식수술에서 또 하나의 중요한 술기는 수실시간을 단축하는 것이다. 수술의 준비와 기구의 준비를 철저히 하여 총 수술시간을 줄이도록 노력하여야 하며 최소한 이식골을 채취하여 부착하기 까지의 시간은 최소로 줄여야 한다. 골이식 수술에서 무조건 성공하는 특별한 방법은 없다. 위와 같은 여러 가지 주의사항에 유념하고 술기를 발전시켜 좋은 결과를 얻도록 노력하여야 한다.

• 대한미세수술학회:학술대회논문집
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• 1993.10a
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• pp.98.1-98.1
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• 1993

• 대한미세수술학회:학술대회논문집
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• 2001.11a
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• pp.190-190
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• 2001

• 대한미세수술학회:학술대회논문집
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• 2001.11a
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• pp.204-204
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• 2001

• 대한두경부종양학회:학술대회논문집
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• 2001.11a
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• pp.261-261
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• 2001

• 대한미세수술학회:학술대회논문집
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• 1995.11a
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• pp.79.2-80
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• 1995