대흉근 피판을 이용한 기관 및 기관공의 재건

노영수; 김진환; 임진우; 김승태; 정철훈; 김응중

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자료유형: 학술저널

저자정보: 노영수 김진환 임진우 김승태 정철훈 김응중

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제1호

발행연도: 2005.1

수록면: 74 - 77 (4page)

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Background and Objectives：Pectoralis major myocutaneous flap has been considered as a workhorse of the pedicled flaps for head and neck reconstruction. We introduce several types of PMMC flap for the reconstruction of tracheostoma with sur-rounding soft tisue defects and evaluate the usefulnes of PMMC flap. Materials and Method：our experience of using 12 PMMC flaps for the reconstruction of tracheostoma between 1997 to 2002. Results：Five patients re-ceived semi-lunar type of PMMC flap, 3 patient received doughnut type, 3 received skin graft type and 1 received mixed type of PMMC flap for the reconstruction of tracheostoma. There was no total necrosis of flap but, 1 case have had marginal necrosis. No other complications were noted. Conclusion：nent tracheostoma with surounding soft tisue defect after tracheal resection, superior mediastinal disection. And several types of PMMC flap design can be used according to the types of stoma and the condition of the defect.

#기관·기관공·대흉근 피판·재건·수술. #Trachea· Stoma· Pectoralis muscle· Reconstruction· Surgical procedure.

참고문헌 (12)

참고문헌 신청

/ 1958 / A technigue for subtotal excision of the trac-hea and establishment of a sternal tracheostomy 149 : 1 ~ 8

/ 1990 / Mediasti-nal tracheostomy using a pectoralis major myocutaneous flap after resection of carcinoma of the esophagus involving the proximal part of the trachea 171 : 4

/ 1992 / Anterior mediastinal tracheostomy with and without cervical exenteration 54 : 628 ~ 37

/ 1994 / A new method of anterior mediastinal tracheostomy following resection of cervical esophagus and the larynx:Report of a case 24 : 548 ~ 51

/ 1994 / Mediastinal dissection and reconstruction for recurrent Hurthle cell carcinoma of the thyroid 16 : 64 ~ 71

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