지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제37권 제11호
- 발행연도
- 2015.11
- 수록면
- 1 - 8 (8page)
- DOI
- 10.1186/s40902-015-0046-9
이용수
초록· 키워드
오류제보하기
BackgroundRadial forearm free flap is the most reliable flap for intraoral soft tissue reconstruction after cancer ablation surgery. However, unesthetic scar of the donor site and the need for a second donor site for skin graft are major disadvantages of the forearm flap. The purpose of this study was to report the clinical results of double-layered collagen graft to the donor site of the forearm free flap without skin graft.
MethodsTwenty-two consecutive patients who underwent oral cancer ablation and forearm reconstruction between April 2010 and November 2013 were included in this study. Male to female ratio was 12:10, and average age was 61.0 years old (27?84). Double-layered collagen was grafted to the donor site of the forearm free flap and healed for secondary intention. Upper silicone had been trimmed at the periphery during secondary intention, and dry dressing was used. Postoperative scar healing and esthetic results and function were evaluated.
ResultsAn average follow-up period was 34.9 months. The scar area was decreased to 63.9 % in average. The complete healing was obtained between 1.5 and 3 months according to the defect size. There was no functional defect or impairment 3 months after operation. All patients were satisfied with the esthetic results. Three patients died of recurred cancer.
ConclusionsDouble-layered collagen graft was successfully performed in this study. Without the thigh skin graft, patients had experienced less painful postoperative healing periods and discomfort.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Urken ML / 1990 / The neurofasciocutaneous radial forearm flap in head and neck reconstruction: a preliminary report / Laryngoscope 100:161~173
Lee J / 1991 / The orofacial reconstruction using free radial forearm flap; the experience of 12 consecutive forearm flaps / Maxillofac Plast Reconstr Surg 13:305~318
김남균 / 2008 / 구강내 연조직 결손부 재건시 유리 전완 피판(Radial Forearm Free Flap)의 유용성 / Maxillofacial Plastic Reconstructive Surgery 30(4):353~358
Richardson D / 1997 / Radial forearm flap donor-site complications and morbidity: a prospective study / Plast Reconstr Surg 99:109~115
Rowe NM / 2006 / Acellular dermal composite allografts for reconstruction of the radial forearm donor site / Ann Plast Surg 57:305~311
Lee J / 1991 / The orofacial reconstruction using free radial forearm flap; the experience of 12 consecutive forearm flaps / Maxillofac Plast Reconstr Surg 13:305~318
김남균 / 2008 / 구강내 연조직 결손부 재건시 유리 전완 피판(Radial Forearm Free Flap)의 유용성 / Maxillofacial Plastic Reconstructive Surgery 30(4):353~358
Richardson D / 1997 / Radial forearm flap donor-site complications and morbidity: a prospective study / Plast Reconstr Surg 99:109~115
Rowe NM / 2006 / Acellular dermal composite allografts for reconstruction of the radial forearm donor site / Ann Plast Surg 57:305~311
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