유리피판을 이용한 기능적 상악 재건술
Reconstruction of Mid-Facial Defect after Maxillectomy with Free Tissue Transfer
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Abstract
Background and Objectives：Postoperative defects of nasal cavity cancer are dificult to reconstruct because of its large and complicated defects. Large defects of the head and neck are challenging to reconstruct since there may be a 3-dimensional Subjects and Method：We conducted a retrospective review of 14 patients who underwent reconstruction between 1999 and 2007. Outcome measures included free flap types, flap success and post-operative functional result. Results：The anterolateral thigh flap method was used in 7 of the 14 pa-tients (50% ), the rectus abdominis free flap method in 4 patients (28% ), the fibular osteocutanoeus free flap method in 2 patients (14% ) (7% ). The free flap survival rate was 100 percent with partial flap necrosis in one patient. Return to regular diet was sen in 9 patients (64% ), a soft diet in 3 (21% ), and a liquid diet in one (7% ). Speech was acessed as normal in 8 patients (57% ), near normal in 5 (36% ), intelligible in one patient (7% ). Conclusion：Fre omy. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :807-811)
참고문헌 (13)
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