CAJ | 학술논문

目的探讨改良颞肌瓣纠正传统颞肌瓣术后供区凹陷畸形的作用。方法回顾分析15例上颌窦恶性肿瘤患者，采用改良颞肌瓣修复肿瘤切除后的创面。结果所有患者随访12~54个月，均未发生改良颞肌瓣坏死，1例术后放疗过程中出现腭部颞肌瓣缝合口处裂开，放疗结束3个月后自行愈合。改良颞肌瓣术后4~6周上皮化，功能重建效果良好，与传统颞肌瓣方法相比，未见供区产生凹陷畸形。结论改良颞肌瓣与传统颞肌瓣一样，可以用于上颌窦恶性肿瘤切除术后巨大创面的修复，且供区未见凹陷畸形，患者满意度高。
목적탐토개량섭기판규정전통섭기판술후공구요함기형적작용。방법회고분석15례상합두악성종류환자，채용개량섭기판수복종류절제후적창면。결과소유환자수방12~54개월，균미발생개량섭기판배사，1례술후방료과정중출현악부섭기판봉합구처렬개，방료결속3개월후자행유합。개량섭기판술후4~6주상피화，공능중건효과량호，여전통섭기판방법상비，미견공구산생요함기형。결론개량섭기판여전통섭기판일양，가이용우상합두악성종류절제술후거대창면적수복，차공구미견요함기형，환자만의도고。
Objective To evaluate the modified temporalis muscle flap (TMF) for correcting depressed deformity of donor site after surgery. Methods In this retrospective study, 15 patients with malignant maxillary tumor were involved. The modified temporalis muscle flap was used to repair the defect after tumor resection. Results All the patients were followed up for 12-54 months. All flaps were survived, except one case suffered from operative incision split and healed itself 3 months after radiotherapy. Epithelization of the fascia in oral cavity was completed in 4-6 weeks. Good functional reconstruction was achieved and no temporal deformity was observed. The cosmetic results were better compared with traditional temporalis muscle flap. Conclusion The modified TMF, the same as traditional temporalis muscle flap, can be served as the first-line reconstructive option for maxillary defects. And it can get better temporal cosmetic results with more satisfaction.