전두부피판과 이개복합조직이식술을 이용한 외비의 재건 치험례

• 영문명: A CASE REPORT OF THE EXTERNAL NOSE RECONSTRUCTION USING FOREHEAD FLAP AND AURICULAR COMPOSITE GRAFTS
• 발행기관: 대한구강악안면외과학회
• 저자명: 박봉욱(Bong-Wook Park) 변준호(June-Ho Byun)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제31권 제4호, 360~362쪽, 전체 3쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2005.08.30

영문 초록

There are various surgical methods for reconstruction of the nasal defect. Among them, there is some difference in the choosing the proper reconstruction method according to defect size and position. When the defect involved the tip, the columella, and the alar, the local flaps may be preferred, because they can provide sufficient amount of tissue. However, the composite grafts from the ear have been effectively used in reconstructions of smaller sized defects of the columella and ala. We excised total external nose because of squamous cell carcinoma on the nasal tip, columella, and nasal septum. We reconstructed the nasal tip, both alae, and columella with forehead flap. After division of the regional flap, we found partial necrosis of the columella and narrowness of the nostril. So, we used chondrocutaneous auricular composite grafts for reconstruction of the columella and both nostrils. We used the file-folder designed auricular composite graft for reconstruction of columella and the wedge shaped ear helical composite grafts for widening of nostrils. 6 months later, there were no significant problems, except some mismatched dark color in the grafted alar tissues. Here, we report a successful reconstruction of large nasal defect using combined two different reconstructive methods.

키워드

Large nasal defect Forehead flap Auricular composite graft