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KERD
논문KCI 등재

요골 전완 유리 피판을 사용한 중안면부 결손의 재건

Reconstruction of Midfacial Defect With Radial Forearm Free Flap

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초록

For head and neck reconstruction, especially for reconstruction of midfacial structure, weshould consider cosmetic results, functional preservation, and survival of flap. Methods of re-construction vary from skin graft to free flap. Among those, the radial forearm free flap (RFFF)can be a valuable alternative for defects of midfacial structures such as the eyelid, nose and lipbecause of its sufficiently long pedicles, lack of bulk and flexibility, all of which enable sur-geons to shape the flap into the way they want, and also functionally complement it by usingadjacent structures like the palmaris longus muscle tendon. Herein, we introduce variousmethods of employing RFFF with or without the palmaris longus tendon to get better aesthet-ic and functional outcomes in reconstruction of midfacial structure.

Abstract

For head and neck reconstruction, especially for reconstruction of midfacial structure, weshould consider cosmetic results, functional preservation, and survival of flap. Methods of re-construction vary from skin graft to free flap. Among those, the radial forearm free flap (RFFF)can be a valuable alternative for defects of midfacial structures such as the eyelid, nose and lipbecause of its sufficiently long pedicles, lack of bulk and flexibility, all of which enable sur-geons to shape the flap into the way they want, and also functionally complement it by usingadjacent structures like the palmaris longus muscle tendon. Herein, we introduce variousmethods of employing RFFF with or without the palmaris longus tendon to get better aesthet-ic and functional outcomes in reconstruction of midfacial structure.

참고문헌 (10)

  1. Calhoun KH, "Radial forearm free f lap for head and neck reconstruction", Facial Plast Surg, 12(1), pp.29~33 (1996)
  2. Baek CH, "Free flap reconstruction in the head and neck regions : A review of 40 cases", Korean J Otorhinolaryngol-Head Neck Surg, 42(7), pp.876~881 (1999)
  3. Na SK, "The modification of radial forearm free f lap in oropharyngeal reconstruction", Korean J Otolaryngology-Head Neck Surgery, 44, pp.754~757 (2001)
  4. Alghoul MS, "Eyelid reconstruction", Plast Reconstr Surg Glob Open, 7(11), pp.e2520~ (2019)
  5. Ueda K, "Eyelid reconstruction with a composite radial forearm palmaris longus tendon flap", J Plast Reconstr Aesthet Surg, 60(3), pp.256~259 (2007)
  6. Lee HT, "Reconstruction of suborbital area using composite radial forearm free flap with palmaris longus tendon immediately after wide excision of skin cancer", Arch Reconstr Microsurg, 10(1), pp.60~63 (2001)
  7. Losee JE, "Plastic surgery", pp.174~179 (2017), Elsevier Health Sciences
  8. 한영은, "요측전완유리피판과 전두부피판을 사용한 아전결손 코의 재건 1예", Journal of Rhinology, 24(2), pp.132~137 (2017), 대한비과학회[DOI]
  9. Jin HR, "Reconstructive rhinoplasty", J Clin Otolaryngol Head Neck Surg, 15(1), pp.55~67 (2004)
  10. Baumann D, "Lip reconstruction", Semin Plast Surg, 22(4), pp.269~280 (2008)

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