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논문KCI 등재

분층피부와 분말골로 이식 전 처리된 유리견갑골근피판과 임플란트 보철을 이용한 경구개와 상악골의 기능적 재건

Functional reconstruction of dento-palatal and maxillary defect using staged operation of prefabricated scapular free flap and dental implants

최진영|김영수|김명진|박종철|김성민|이종호|안강민|팽준영|황순정|명훈|서병무|정필훈
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2004.08|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제30권 제4호|pp. 301-307

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참고문헌

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초록

Abstract

The flap considered at first for the reconstruction large of maxillary defect, especially mid face defect, is scapular free flap, because it provides ample composite tissue which can be designed 3-dimensionally for orbital, facial and oral reconstruction. However, in case of maxillary defect involving hard palate, this flap shows some limitations. First, its bulk prevents oral function and physio-anatomic reconstruction of nasal and oral cavity. Second, mobility and thickness of cutaneous paddle covering the alveolar area decreases retention of tissue-supported denture and gives rise to peri-implantitis when implant is installed. Third, lateral border of scapula that is to reconstruct maxillary arch and hold implants is straight, not U-shaped maxillary arch form. To overcome these problems, new concept of step prefabrication technique was provided to a 27-year-old male patient who had been left with a complete hard palate and maxillary alveolar ridge defect. In the first stage, scapular osteomuscular flap was elevated, tailored to fit the maxillary defect, particulated autologous bone was placed subperiosteally to simulate u-shaped alveolar process, and then wrapped up with split thickness skin graft(STSG, 0.3mm thickness). Two months later, thus prefabricated new flap was elevated and microtransferred to the palato-maxillary defect. After 6 months, 10 implant fixtures were installed along the reconstructed maxillary alveolus, with following final prosthetic rehabilitation. The results were very successful and patient is enjoying normal rigid diet and speech.

참고문헌 (19)

  1. "King GE. Maxillofacial restoration after tumor ablation. Clin Plast Surg. 1994 Jan", pp.87~96
  2. "Garden AS. Total midface reconstruction after radical tumor resection a case report and overview of the problem.", 36(5), pp.551~557 (1996)
  3. "Fujino T. Reconstruction of the hard palate using free iliac bone covered with a jejunal flap. Br J Plast Surg. 1988 Mar", pp.143~6
  4. "Iliac crest internal oblique osteomusculocutaneous free flap reconstruction of the postablative palatomaxillary defect.", 127(7), pp.854~861 (2001)
  5. "The optimum method for reconstruction of complex lateraloromandibular-cutaneous defects.", 22(7), pp.674~679 (2000)
  6. "Powell LA. Simultaneous maxillary and mandibular reconstruction with one free osteocutaneous flap. Plast Reconstr Surg. 1993 Jul", pp.141~6
  7. "The prefabricated combined scapula flap for bony and soft-tissue reconstruction in maxillofacial defects-a new method.", 98(3), pp.542~552 (1996)
  8. "Hanna DC. Scapular free flap for repair of massive lower facial composite defects. Head Neck Surg. 1986 Jul-Aug", pp.436~441
  9. "Kaltman S. Reconstruction of complex maxillectomy defects with the scapular-free flap. Head Neck. 1990 Sep-Oct", pp.377~85
  10. "Yao ST. Microvascular transplantation of prefabricated free thigh flap. Plast Reconstr Surg. 1982 Mar"
  11. "Tichy VL. Production of collateral circulation to the heart"
  12. "Washio H. An intestinal conduit for free transplantation of other tissues. Plast Reconstr Surg. 1971 Jul", pp.48~51
  13. "Shaw WW. Principles of flap prefabrication. Clin Plast Surg. 1992 Oct", pp.763~71
  14. "Total mandibular and lower lip reconstruction with a prefabricated osteocutaneous free flap.", 104(3), pp.793~797 (1999)
  15. "Considerations for free-flap reconstruction of the hard palate.", 125(6), pp.665~669 (1999)
  16. "Miller MJ. Osseous free flaps for orbit and midface reconstruction. Am J Surg. 1993 Oct", pp.341~5
  17. "Prefabrication of combined scapula flaps for microsurgical reconstruction in oro-maxillofacial defects a new method", 24(4), pp.214~223 (1996)
  18. "Revascularized composite grafts with inserted implants for reconstructing the maxilla-mproved flap design and flap prefabrication.", 36(5), pp.346~352 (1998)
  19. "정숭룡.`치과용 임프란트 매식을 위한 견갑골외연의 형태학적 연구. 대한악안면성형재건외과학회지 17", pp.231~8

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