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
- 2014.1
- 수록면
- 716 - 721 (6page)
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초록· 키워드
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Background The aim of this study was to review the recipient vessels used in our cases of facial reanimation with free functional muscle transfer and to identify patient variables that may predict when the facial vessels are absent. From this we present a protocol for vessel selection in cases when the facial artery and/or vein are absent. Methods Patients were identified from November 2006 to October 2013. Data was collected on patient demographics, facial palsy aetiology, history of previous facial surgery/trauma and flap/recipient vessels used. A standard operative approach was adopted and performed by a single surgeon. Results Eighty-seven eligible patients were identified for inclusion amongst which 98 hemifaces were operated upon. The facial artery and vein were the most commonly used recipient vessels (90% and 83% of patients, respectively). Commonly used alternative vessels were the transverse facial vein and superficial temporal artery. Those with congenital facial palsy were significantly more likely to lack a suitable facial vein (P=0.03) and those with a history of previous facial surgery or trauma were significantly more likely to have an absent facial artery and vein (P<0.05). Conclusions Our algorithm can help to guide vessel selection cases of facial reanimation with free functional muscle transfer. Amongst patients with congenital facial palsy or in those with a previous history of facial surgery or trauma, the facial vessels are more likely to be absent and so the surgeon should then look towards the transverse facial vein and superficial temporal artery as alternative recipient structures.
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참고문헌 (25)
참고문헌 신청
Ghali S / 2011 / Reanimation of the middle and lower face in facial paralysis: review of the literature and personal approach / J Plast Reconstr Aesthet Surg 64:423~431
Thompson N / 1971 / Autogenous free grafts of skeletal muscle. A preliminary experimental and clinical study / Plast Reconstr Surg 48:11~27
Harii K / 1976 / Free gracilis muscle transplantation, with microneurovascular anastomoses for the treatment of facial paralysis. A preliminary report / Plast Reconstr Surg 57:133~143
Harrison DH / 2012 / Pectoralis minor muscle transfer for unilateral facial palsy reanimation: an experience of 35 years and 637 cases / J Plast Reconstr Aesthet Surg 65:845~850
Lohn JW / 2011 / The course and variation of the facial artery and vein: implications for facial transplantation and facial surgery / Ann Plast Surg 67:184~188
Thompson N / 1971 / Autogenous free grafts of skeletal muscle. A preliminary experimental and clinical study / Plast Reconstr Surg 48:11~27
Harii K / 1976 / Free gracilis muscle transplantation, with microneurovascular anastomoses for the treatment of facial paralysis. A preliminary report / Plast Reconstr Surg 57:133~143
Harrison DH / 2012 / Pectoralis minor muscle transfer for unilateral facial palsy reanimation: an experience of 35 years and 637 cases / J Plast Reconstr Aesthet Surg 65:845~850
Lohn JW / 2011 / The course and variation of the facial artery and vein: implications for facial transplantation and facial surgery / Ann Plast Surg 67:184~188
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