CAJ | 학술논문

目的探讨颞肌蒂下颌骨瓣与游离前臂皮瓣联合修复腭上颌缺损的临床疗效. 方法 2008年3月至2011年3月,共收治恶性肿瘤切除后腭上颌缺损9例,其中男6例,女3例,年龄34～68岁,平均57岁.根据Browm上颌骨缺损分类,其中Ⅱ B类8例,Ⅱ C类1例.均采用颞肌蒂下颌骨瓣与游离前臂皮瓣联合修复. 结果 9例移植的骨瓣及皮瓣均成活.随访期10～24个月,平均随访期14个月,除1例软骨肉瘤病例术后复发外,其余病例的面部外形和功能均恢复满意,供区未见并发症.结论应用颞肌蒂下颌骨瓣与游离前臂皮瓣联合修复腭上颌缺损具有操作简单易行、安全可靠和并发症少等优点,是修复上颌骨缺损的较理想术式.
목적 탐토섭기체하합골판여유리전비피판연합수복악상합결손적림상료효. 방법 2008년3월지2011년3월,공수치악성종류절제후악상합결손9례,기중남6례,녀3례,년령34～68세,평균57세.근거Browm상합골결손분류,기중Ⅱ B류8례,Ⅱ C류1례.균채용섭기체하합골판여유리전비피판연합수복. 결과 9례이식적골판급피판균성활.수방기10～24개월,평균수방기14개월,제1례연골육류병례술후복발외,기여병례적면부외형화공능균회복만의,공구미견병발증.결론 응용섭기체하합골판여유리전비피판연합수복악상합결손구유조작간단역행、안전가고화병발증소등우점,시수복상합골결손적교이상술식.
Objective To evaluate the clinical effect of mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap to repair palatomaxillary defects. Methods From March 2008 to March 2011,nine patients with palatomaxillary defects following malignant tumor ablation,were repaired with mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap. According to Brown's classification for the maxillectomy defect,eight cases were type Ⅱ B and 1 case was type Ⅱ C. There were 6 males and 3 females with an average age of 57 years(range,34-68 years). Results All the 9 osteomuscular flaps and forearm flaps survived.The patients were followed up for 12 to 24 months with an average of 14 months. The patients acquired satisfactory appearance and complete functional restoration except 1 case of chondrosarcoma of recurrence was encountered 6 months after operation. Conclusions Palatomaxillary defects were reconstructed by mandibular osteomuscular flap pedicled with temporalis and radial forearm free flap immediately.It is easy to elevate,safe,and there were no donor site problems.This is an ideal method of repairing the palato maxillary defects.