이개 주변 악성종양의 광범위절제술 후 이개의 보존 2례

• 영문명: Two Cases of Auricular Salvage after Wide Excision of Malignant Tumor at Periauricular Area
• 발행기관: 대한두경부종양학회
• 저자명: 김결희(Kyul Hee Kim) 정철훈(Chul Hoon Chung) 장용준(ong Joon Chang) 이종욱(Jong Wook Lee) 노영수(Young Soo Rho) 김창우(Chang Woo Kim)
• 간행물 정보: 『대한두경부종양학회지』제25권 제1호, 39~42쪽, 전체 4쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2009.05.30

영문 초록

Wide excision for curative treatment of malignant tumor on periauricular area often leads to loss of the ex-ternal ear. But the auricle has rich vascular supply, Conservation of auricular contour is possible through salvage and engineering of remained auricular tissue. We experienced two cases of auricular salvage after wide excision of malignant tumor. In the first case, we performed two-staged technique. In first step, we covered soft tissue defect on periauricualr area with the anterolateral thigh free flap and remained auricle was floating over the flap after split-thickness skin graft was applied on it’s posterior raw surface because it's survival was not confirmed. Second step was reposition of remained auricule on the anterolateral thigh flap. In the second case, we packed in periauricular dead space and external auditory canal with temoporalis muscle and temporoparietal fascial flap and then covered the flap with split thickness skin graft. In these two cases, there were no recurrence of tumors and we obtained cosmetically & functionally satisfactory results.

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키워드

Auricle Salvage Malignant tumor Periauricular area 이개 보존 악성종양.