Reconstruction of Midface Defect with Latissimus Dorsi Myocutaneous Free Flap

광배근 근피 유리피판술(Latissimus dorsi myoctaneous free flap)을 이용한 상악부 복합조직결손의 치험례

We report 2 cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap. In these cases, the main points to cover the defects were as follows ; 1. For the contour of zygoma and maxilla, it was well preserved without bone graft which was not used for second stage reconstruction. In first case, for application of artificial eye and in second case, for, operation after full development. 2. For the drainage of paranasal sinuses, we made the nostril with skin graft, and it was well preserved without any complications during follow up. 3. It was sufficient to cover the defect with latissimus dorsi muscle well designed before surgery and thick enough to fill the defect. 4. In second case, the remained defect of palate and maxilla was not covered for the appropriate reconstructions after full development. In conclusions, we experienced two cases of midface defect reconstructed with latissimus dorsi myocutaneous free flap without any complication and with good results.

상악의 복합조직 결손이 크게 있을 경우에 그를 재건하는데는 여러가지 방법이 있지만, 본 영남대학교 의과대학 성형외과학 교실에서는 최근 경험한 2예의 상악부 복합조직결손을 재건함에 있어서 광배근 근피 유리피판술을 이용하였던 바, 각각 16개월 및 2개월의 추적에 있어서 별다른 기능적 이상없이 만족할 만한 결과를 보았다.