구강 혹은 인두피부루의 동시재건을 위한 양면 대흉근피판술

• 영문명: Double Paddle Pectoralis Major Myocutaneous Flap for Simultaneous Reconstruction of Oro-or Pharyngocutaneous Fistula
• 발행기관: 대한두경부종양학회
• 저자명: 임영창(Young Chang Lim) 손은진(Eun Jin Son) 신우철(Woo Chul Shin) 김상철(Sang Cheol Kim) 이욱진(Wook Jin Lee) 최은창(Eun Chang Choi)
• 간행물 정보: 『대한두경부종양학회지』제19권 제1호, 47~51쪽, 전체 5쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 2003.05.30

국문 초록

본 증례에서 처럼 구강과 피부 또는 인두와 피부의 복합 결손은 내측 점막재건 및 피부의 외측부분을 함께 재건해야 하는데, 저자들이 사용한 진도서형의 양면 대흉근 피판이 아주 유용한 방법으로, 수술시간도 짧고 피판의 혈관경도 믿을 수 있어 대단히 안전한 피판으로 사료된다.

영문 초록

Background and Objectives: Oro-and pharyngocutaneous fistula after irradiation can lead to extensive wound necrosis and fetal complication such as carotid rutpure. So, there is a need to clean and cover the wound rapidly in these compromised patients. Pectoralis major myocutaneous (PMMC) flap has been presented for reconstruction of complex defects in these irradiated patients. We applied the double paddle PMMC flap for the simultaneous reconstruction of above complex defects and evaluated the it's clinical efficacy. Material and Methods: Retrospective chart review of three cases of simultaneous head and neck reconstruction after irradiation with double paddle PMMC. All patients received prior radiotherpy before development of complications. The double paddle PMMC flap was used for mucosal lining of the oral cavity and epithelial lining of external skin in 2 cases, for mucosal lining of the pharynx and epithelial lining of external skin in 1 case. Results: Considerable complications such as major flap necrosis or fistula did not occur in any of the cases, and simultaneous reconstruction was achieved in all cases without reoperations. Conclusion: Many extended defects such as oro-and pharyngocutaneous fistula involving cover and lining about the head and neck after irradiation can be rehabilitated by the double paddle pectoralis major myocutaneous flap.

목차

Abstract

서론

증례 및 방법

양댄 대흉근 피판의 수술방법

고찰

요약

References

키워드

양면 대흉근피판 방사선치료 구강피부루 인두피부루 Pectoralis major myocutaneous flap Double paddle flap Head and neck reconstruction