유리피판 시대의 두경부 재건수술에 사용한 광배근유경피판 6예
Six Cases of Reconstruction with Latissimus Dorsi Pedicled Flap for Head and Neck Defects in the Era of Free Flap Reconstruction
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Reconstruction with free flaps has become the choice of reconstruction for most patients with head and neck defects. However, pedicled flaps, such as pectoralis major pedicled flap and latissimus dorsi pedicled flap (LDPF), can also be used instead in selected patients. We performed LDPFs in 6 patients from November 2007 to September 2009. Five of the patients were females with either vascular diseases or large skin defects, or they were highrisk old patients. One male patient received LDPF as a salvage after tongue reconstruction with a free flap failed. Various types of head and neck defects were effectively managed with LDPF without complications. LDPF can be one option for head and neck reconstruction especially in patients who may hve high risk in undergoing free flap reconstruction.
Abstract
Reconstruction with free flaps has become the choice of reconstruction for most patients with head and neck defects. However, pedicled flaps, such as pectoralis major pedicled flap and latissimus dorsi pedicled flap (LDPF), can also be used instead in selected patients. We performed LDPFs in 6 patients from November 2007 to September 2009. Five of the patients were females with either vascular diseases or large skin defects, or they were highrisk old patients. One male patient received LDPF as a salvage after tongue reconstruction with a free flap failed. Various types of head and neck defects were effectively managed with LDPF without complications. LDPF can be one option for head and neck reconstruction especially in patients who may hve high risk in undergoing free flap reconstruction.
참고문헌 (17)
- Eckardt A, "Reconstruction of defects in the head and neck with free flaps:20 years experience", Br J Oral Maxillofac Surg, 45(1), pp.11~15 (2007)
- 안순현, "유리피판을 이용한 두경부 재건의 초기 경험", 대한이비인후과학회지 두경부외과학, 51(4), pp.350~354 (2008), 대한이비인후과학회
- de Bree R, "Modern reconstruction techniques for oral and pharyngeal defects after tumor resection", Eur Arch Otorhinolaryngol, 265(1), pp.1~9 (2008)
- Baek CH, "Free flap reconstruction in the head and neck regions:a review of 40 cases", Korean J Otolaryngol-Head Neck Surg, 42(7), pp.876~881 (1999)
- Joo YH, "Assessment of volume changes of radial forearm free flaps in head and neck cancer:Long-term results", Oral Oncol, 47(1), pp.72~75 (2011)
- Richmon JD, "Reconstruction of the hypopharynx:current trends", Curr Opin Otolaryngol Head Neck Surg, 15(4), pp.208~212 (2007)
- Lee RG, "Improving outcomes of locoregional flaps:an emphasis on anatomy and basic science", Curr Opin Otolaryngol Head Neck Surg, 14(4), pp.260~264 (2006)
- Kim KH, "Reconstruction of defects in the head and neck using pedicled or free flap: a review of 112 cases", Korean J Otolaryngol-Head Neck Surg, 40(11), pp.1585~1592 (1997)
- Lassen M, "The latissimus dorsi flap.An overview", Scand J Plast Reconstr Surg, 19(1), pp.41~51 (1985)
- Lee BS, "Reconstruction after surgical treatment of the hypopharyngeal cancer: forearm free flap and pectoralis major myocutaneous flap", Korean J Otolaryngol-Head Neck Surg, 40(7), pp.953~959 (1997)
- Sabri A, "Oropharyngeal reconstruction:current state of the art", Curr Opin Otolaryngol Head Neck Surg, 11(4), pp.251~254 (2003)
- Johnson PC, "Thrombosis and antithrombotic therapy in microvascular surgery", Clin Plast Surg, 19(4), pp.799~807 (1992)
- The society of otorhinolaryngology-head and neck surgery, "Otorhinolaryngology-head and neck surgery.2nd ed", pp.1925~1969 (2009), Ilchokak
- Nieto CS, "Survival of myocutaneous flaps.Experimental evaluation by intra-arterial injection of a dye", Arch Otolaryngol, 111(1), pp.43~46 (1985)
- Ariyan S, "Myocutaneous flaps for head and neck reconstruction", Head Neck Surg, 2(4), pp.321~345 (1980)
- Withers EH, "Pectoralis major musculocutaneous flap:a new flap in head and neck reconstruction", Am J Surg, 138(4), pp.537~543 (1979)
- Baek SM, "An analysis of 133 pectoralis major myocutaneous flaps", Plast Reconstr Surg, 69(3), pp.460~469 (1982)
