지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.9
- 수록면
- 527 - 534 (8page)
이용수
초록· 키워드
오류제보하기
Microvascular reconstruction of maxillary composite defect after oncologic resection has improved both esthetic and functionai aspect of quality of life of the cancer patients. However, a lot of patients had prior surgery with radiation and/or chemotherapy as a part of comprehensive cancer treatment. Sometimes it is nearly impossible to find out adequate recipient vessel for maxillary reconstruction with microvascular anastomosis. Therefore long pedicle of the flao is needed to use distant neck vessels located far from the reconstruction site such as ipsilateral transverse cervical artery or a branch of contralateral external carotid artery. For this reason, although we know the treatment of the choice is osteocutaneous flap, it is difficult to use this flap when we need long pedicle with complex three dimensional osseous defect. Vascular option for these vessel-depleted neck patients can be managed by a soft tissue reconstruction with long vascular pedicle and additional free non-vascularized flap that is rigidly fixed to remaining skeletal structures. For this reason, maxillofacial reconstruction by vascularized soft tissue flap with or without the secondary restoration of maxillary bone with non-vascularized iliac bone can be regarded as one of options for reconstruction of profound maxillofacial composite defect resulted from previous oncological resection with chemoradiotherapy.
목차
ABSTRACT
I. 서론
II. 연구 대상 및 방법
III. 연구성적
IV. 총괄 및 고안
V. 결론
참고문헌
참고문헌 (20)
참고문헌 신청
Dalgorf D / 2008 / Reconstruction of the midface and maxilla / Current Opinion in Otolaryngology & Head and Neck Surgery 16:303~311
McCarthy CM / 2010 / Microvascular reconstruction of oncologic defects of the midface / Plastic & Reconstructive Surgery 126:1947~1959
Liu YM / 2006 / Functional reconstruction of maxilla with pedicled buccal fat pad flap, prefabricated titanium mesh and autologous bone grafts / International Journal of Oral and Maxillofacial Surgery 35:1108~1113
Futran ND / 2002 / Midface reconstruction with the fibula free flap / Archives of Otolaryngology - Head & Neck Surgery 128:161~166
Brown JS / 1996 / Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect / Head Neck 18:412~421
McCarthy CM / 2010 / Microvascular reconstruction of oncologic defects of the midface / Plastic & Reconstructive Surgery 126:1947~1959
Liu YM / 2006 / Functional reconstruction of maxilla with pedicled buccal fat pad flap, prefabricated titanium mesh and autologous bone grafts / International Journal of Oral and Maxillofacial Surgery 35:1108~1113
Futran ND / 2002 / Midface reconstruction with the fibula free flap / Archives of Otolaryngology - Head & Neck Surgery 128:161~166
Brown JS / 1996 / Deep circumflex iliac artery free flap with internal oblique muscle as a new method of immediate reconstruction of maxillectomy defect / Head Neck 18:412~421
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UCI(KEPA) : I410-ECN-0101-2013-515-003505965