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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Jung, Bok Ki (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Song, Seung Yong (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Kim, Se-Heon (Department of Otorhinolaryngology, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Kim, Young Seok (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance Hospital, Yonsei University College of Medicine) Lee, Won Jai (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Hong, Jong Won (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Severance Hospital, Yonsei University College of Medicine) Roh, Tai Suk (Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Gangnam Severance) Lew, Dae Hyun
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제42권 제4호
발행연도
2015.1
수록면
453 - 460 (8page)

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Background Reconstruction of oropharyngeal defects after resection of oropharyngeal cancer is a significant challenge. The purpose of this study is to introduce reconstruction using a combination of a buccinator myomucosal flap and a buccal fat pad flap after cancer excision and to discuss the associated anatomy, surgical procedure, and clinical applications. Methods In our study, a combination of a buccinator myomucosal flap with a buccal fat pad flap was utilized for reconstruction after resection of oropharyngeal cancer, performed between 2013 and 2015. After oropharyngectomy, the defect with exposed vital structures was noted. A buccinator myomucosal flap was designed and elevated after an assessment of the flap pedicle. Without requiring an additional procedure, a buccal fat pad flap was easily harvested in the same field and gently pulled to obtain sufficient volume. The flaps were rotated and covered the defect. In addition, using cadaver dissections, we investigated the feasibility of transposing the flaps into the lateral oropharyngeal defect. Results The reconstruction was performed in patients with squamous cell carcinoma. The largest tumor size was $5cm{\times}2cm(length{\times}width)$. All donor sites were closed primarily. The flaps were completely epithelialized after four weeks, and the patients were followed up for at least six months. There were no flap failures or postoperative wound complications. All patients were without dietary restrictions, and no patient had problems related to mouth opening, swallowing, or speech. Conclusions A buccinator myomucosal flap with a buccal fat pad flap is a reliable and valuable option in the reconstruction of oropharyngeal defects after cancer resection for maintaining functionality.
#Surgical flap #Oropharyngeal neoplasms #Reconstructive surgical procedures

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참고문헌 (22)

참고문헌 신청
Park YM / 2009 / Feasibility of transoral lateral oropharyngectomy using a robotic surgical system for tonsillar cancer / Oral Oncol 45:e62~e66 google schola Pollei TR / 2013 / Analysis of postoperative bleeding and risk factors in transoral surgery of the oropharynx / JAMA Otolaryngol Head Neck Surg 139:1212~1218 google schola Squaquara R / 2010 / Intraoral reconstruction using local and regional flaps / Semin Plast Surg 24:198~211 google schola Szeto C / 2011 / The buccinator flap: a review of current clinical applications / Curr Opin Otolaryngol Head Neck Surg 19:257~262 google schola Van Lierop AC / 2008 / Buccinator myomucosal flap: clinical results and review of anatomy, surgical technique and applications / J Laryngol Otol 122:181~187 google schola

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