CAJ | 학술논문

目的：探讨应用降下唇肌瓣与髂骨移植联合修复进展期口底癌术后缺损的方法和效果。方法：在2011-08-2013-05，对于5例进展期口底癌患者行肿瘤扩大切除术，遗留的口底和下颌骨缺损采用降下唇肌瓣与髂骨移植联合修复。通过观察组织瓣成活、舌活动度和面部外形等情况，评价其修复效果。结果：随访2~18个月，组织瓣全部成活，舌活动度良好，面部外形良好，活动义齿修复下颌缺牙，咀嚼功能恢复良好。结论：降下唇肌瓣和髂骨移植，制备方法简便，均不需要吻合血管，两者联合应用是修复进展期口底癌术后缺损的理想方法。
목적：탐토응용강하진기판여가골이식연합수복진전기구저암술후결손적방법화효과。방법：재2011-08-2013-05，대우5례진전기구저암환자행종류확대절제술，유류적구저화하합골결손채용강하진기판여가골이식연합수복。통과관찰조직판성활、설활동도화면부외형등정황，평개기수복효과。결과：수방2~18개월，조직판전부성활，설활동도량호，면부외형량호，활동의치수복하합결아，저작공능회복량호。결론：강하진기판화가골이식，제비방법간편，균불수요문합혈관，량자연합응용시수복진전기구저암술후결손적이상방법。
Objective: The purpose of this study was to evaluate the methods and efficacy of composite graft with depres-sor labii inferioris flap and iliac bone in reconstruction of the mouth floor defects in advanced cancer patients. Methods:From August 2011 to May 2013, 5 patients underwent mouth floor reconstruction by composite grafts with depressor labii inferioris local flap and free iliac bone transfer. The patients were followed up for 2-18 months to evaluate the survival of the flaps, mobility of tongue and esthetic outcome of lip and mental region. Results: All the flaps survived completely, tongues moved well, functions as well as esthetic results were good. Conclusion: Combining depressor labii inferioris flap with iliac bone transfer are suitable for composite reconstruction of the mouth floor defects in advanced cancer patients.