Maxillofacial Plastic and Reconstructive Surgery
- Volume 16 Issue 2
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- Pages.113-121
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- 1994
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
FREE JEJUNAL FLAP FOR INTRAORAL RECONSTRUCTION CASES REPORT & LITERATURE REVIEW
유리 소장이식을 이용한 구강내 결손부위의 수복 증례보고 및 문헌 고찰
- Kang, Bo-Won (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Korea University) ;
- Kim, Sung-Moon (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Korea University) ;
- Lim, Jae-Suk (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Korea University) ;
- Kwon, Jong-Jin (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Korea University) ;
-
Choi, Sung-Weon
(Dept. of Oral & Maxillofacial Surgery, College of Medicine, Korea University) ;
- Lee, Dong-Keun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
- Min, Seung-Ki (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University)
- 강보원 (고려대학교 의과대학 치과 구강악안면외과학교실) ;
- 김성문 (고려대학교 의과대학 치과 구강악안면외과학교실) ;
- 임재석 (고려대학교 의과대학 치과 구강악안면외과학교실) ;
- 권종진 (고려대학교 의과대학 치과 구강악안면외과학교실) ;
-
최성원
(고려대학교 의과대학 치과 구강악안면외과학교실) ;
- 이동근 (원광대학교 치과대학 구강악안면외과학교실) ;
- 민승기 (원광대학교 치과대학 구강악안면외과학교실)
- Published : 1994.06.30
Abstract
Large oral defects following tumor resection pose formidable challenge for the reconstructive surgeon. Ideally, wound closure should utilize like tissue in providing expedient, single-stage closure, returning maximum function while minimizing deformity. Recent methods have reported and utilize variable mucocutaneous flaps. However, the ideal reconstruction has yet to defined. The small bowel serves as a readily available donor site for satisfying reconstructive needs in oropharyngeoesophageal defects. Segments of jejunum may be opened along the antimesenteric border and transferred to oral defect as free tissue transfers. Some of the benefits of this technique have included a one-stage procedure, abundant donor tissue with characteristics similar to oral mucosa, near normal facial appearance, preservation of maximum tongue function and relief of annoying xerostomia by jejunal mucous secretion. Three cases re presented in which two cases show successful use of this flap. The other one patient developed total necrosis of this flap. We report cases of reconstruction using free jejunal flap transfer in oral reconstruction.
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