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논문KCI 등재

하악하 도서형 피판을 이용한 하구순 재건술

Lower Lip Reconstruction Using a Submental Island Flap

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초록

Squamous cell carcinoma (SCC) of the lower lip is the most common malignant tumor, comprising 90% of all lip SCC. The typical picture of SCC of the lower lip is an ulcerated lesion with raised margins. Surgery is the treatment of choice for SCC of lower lip. After resection, reconstruction is important both aesthetically and functionally, because the lower lip is a prominent location in the face and it is where essential functions of the sphincter are carried out as in assisting mastication, swallowing, phonation, and expressing emotion. Depending on the location and size of the tumor, different types of flaps are used. We describe here a successful technique to reconstruct a large lower lip defect using a submental island flap and a mucosal flap for patients.

Abstract

Squamous cell carcinoma (SCC) of the lower lip is the most common malignant tumor, comprising 90% of all lip SCC. The typical picture of SCC of the lower lip is an ulcerated lesion with raised margins. Surgery is the treatment of choice for SCC of lower lip. After resection, reconstruction is important both aesthetically and functionally, because the lower lip is a prominent location in the face and it is where essential functions of the sphincter are carried out as in assisting mastication, swallowing, phonation, and expressing emotion. Depending on the location and size of the tumor, different types of flaps are used. We describe here a successful technique to reconstruct a large lower lip defect using a submental island flap and a mucosal flap for patients.

참고문헌 (12)

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  8. Anvar BA, "Lip reconstruction", Plast Reconstr Surg, 120(4), pp.57e~64e (2007)
  9. 남수봉, "하구순 편평세포암의 광범위 절제 후 Bernard씨 술식의 Webster씨 변법을 이용한 재건", Archives of Plastic Surgery, 32(2), pp.168~174 (2005), 대한성형외과학회
  10. Martin D, "The submental island flap:a new donor site.Anatomy and clinical applications as a free or pedicled flap", Plast Reconstr Surg, 92(5), pp.867~873 (1993)
  11. Multinu A, "The submental island flap in head and neck reconstruction", Int J Oral Maxillofac Surg, 36(8), pp.716~720 (2007)
  12. Pistre V, "Ten years of experience with the submental flap", Plast Reconstr Surg, 108(6), pp.1576~81 (2001)

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