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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Kyung Pil (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Sim, Ho Seup (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Choi, Jun Ho (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Lee, Do Hun (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Kim, Seong Hwan (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Kim, Hong Min (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School) Kim, Kwang Seog (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
저널정보
대한두개안면성형외과학회 Archives of craniofacial surgery : ACFS Archives of craniofacial surgery : ACFS 제17권 제4호
발행연도
2016.1
수록면
190 - 197 (8page)

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Background: The cheek rotation flap has sufficient blood flow and large flap size and it is also flexible and easy to manipulate. It has been used for reconstruction of defects on cheek, lower eyelid, or medial and lateral canthus. For the large defects on central nose, paramedian forehead flap has been used, but patients were reluctant despite the remaining same skin tone on damaged area because of remaining scars on forehead. However, the cheek flap is cosmetically superior as it uses the adjacent large flap. Thus, the study aims to demonstrate its versatility with clinical practices. Methods: This is retrospective case study on 38 patients who removed facial masses and reconstructed by the cheek rotation flap from 2008 to 2015. It consists of defects on cheek (16), lower eyelid (12), nose (3), medial canthus (3), lateral canthus (2), and preauricle (2). Buccal mucosa was used for the reconstruction of eyelid conjunctiva, and skin graft was processed for nasal mucosa reconstruction. Results: The average defect size was $6.4cm^2$, and the average flap size was $47.3cm^2$. Every flap recovered without complications such as abnormal slant, entropion or ectropion in lower eyelid, but revision surgery required in three cases of nasal side wall reconstruction due to the occurrence of dog ear on nasolabial sulcus. Conclusion: The cheek rotation flap can be applicable instead of paramedian forehead flap for the large nasal sidewall defect reconstruction as well as former medial and lateral canthal defect reconstruction.

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