USE OF AUTOGENOUS DERMIS-FAT GRAFT FOR RECONSTRUCTION OF ORAL AND MAXILLOFACIAL SOFT TISSUE DEFECT;A CASE REPORT

구강 악안면 연조직 결손 재건을 위한 진피 지방 이식의 이용;증례보고

  • Park, No-Seung (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.) ;
  • Yeo, Hwan-Ho (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.) ;
  • Kim, Young-Kyun (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.) ;
  • Kim, Su-Gwan (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.) ;
  • Lee, Byung-Joon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.) ;
  • Hwang, Kyung-Kon (Dept. of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University.)
  • 박노승 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 여환호 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김영균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 이병준 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 황경곤 (조선대학교 치과대학 구강악안면외과학교실)
  • Published : 1996.09.30

Abstract

Soft tissue defects in oral & maxillofacial region caused by tumor resection, trauma, congenital deformities have been treated in autogenous soft tissue flap, allogenic material, free dermal graft, fascia graft. Of these methods, autogenous dermis graft had initially been applied in hernia treatment at the beginning of nineteenth century and have been applied in soft tissue augmentation coverage of vital structure, dead space removal and reconstruction of fascia. A fat graft is used in reconstruction of orbit at the enucleation, restoration of facial contours, etc. In this case, patient with chin soft tissue defect in traffic accident was treated in autogenous dermis-fat graft from patient's abdominal and gluteal region. Chin defect was reconstructed favorably. There was no severe atrophy of grafted area 12 months postoperatively. We will report the result that is favorable esthetically with literature review.

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