두경부 재건수술 초기경험: 적절성과 임상결과 연구

김탑; 배호영; 안준영; 원호륜; 신유섭; 김철호

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자료유형: 학술저널

저자정보: 김탑 배호영 안준영 원호륜 신유섭 김철호

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제60권 제4호

발행연도: 2017.1

수록면: 179 - 182 (4page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives The reconstruction of surgical defects in head and neck cancer patients requires thorough anatomical knowledge and considerable clinical experiences, hence it is a demanding job for un-experienced reconstructive surgeons. We evaluated the appropriateness and the surgical outcome of a one-year experience of head and neck reconstruction carried out in a tertiary hospital setting. Subjects and Method We performed a retrospective review of the medical records of 73 patients who underwent reconstructive surgery at the Otolaryngology Department and Plastic Surgery from January, 2012 to September, 2016. Results Twenty-eight of 42 patients underwent free-flap reconstruction, including anterolateral thigh, radial forearm, or fibula free-flap by a head and neck surgeon. The rest of the patients underwent pedicled-flap surgery including pectoralis major or latissimus dorsi myocutanous flap. The mean operation time was 209.5 minutes and an average of 1.2 days intensive care unit- and 37.2 days of hospital stay were required in the free-flap cases. The flap failure happened in three patients, two in free-flap and one in pedicled flap. These surgical outcomes were comparable to those of the plastic surgery patient group. Conclusion The technical appropriacy and acceptable outcome of head and neck reconstruction by head and neck surgeons was proven in this investigation. We propose that reconstructive surgery should be performed by head and neck surgeons as they could reduce operation time or complications because of their familiarity with complex surgical anatomy and early decision making competency. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(4):179-82

#Appropriateness #Free-flap #Head and neck cancer.

참고문헌 (10)

참고문헌 신청

Ariyan S / 1979 / The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck / Plast Reconstr Surg 63 (1) : 73 ~ 81

Chang EI / 2016 / Management of unfavorable outcomes in head and neck free flap reconstruction: experiencebased lessons from the MD Anderson Cancer Center / Clin Plast Surg 4

Kelly JR / 2016 / Treatment de-intensification strategies for head and neck cancer / Eur J Cancer 68 : 125 ~ 133

Koshima I / 1993 / Free anterolateral thigh flaps for reconstruction of head and neck defects / Plast Reconstr Surg 92 (3) : 421 ~ 428

Markey J / 2015 / Recent advances in head and neck free tissue transfer / Curr Opin Otolaryngol Head Neck Surg 23 (4) : 297 ~ 301

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