Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Walk-Up flap for Reconstruction of Oral and Maxillofacial defects

Walk-Up flap을 이용한 악안면 영역의 결손부 재건

  • Shin, Sang-Hun (Dept. of Oral and Maxillofacial surgery, College of Medicine, Dong-A University) ;
  • Park, Sung-Jin (Dept. of Oral and Maxillofacial surgery, College of Medicine, Dong-A University) ;
  • Lee, Kwang-Ho (Dept. of Oral and Maxillofacial surgery, College of Medicine, Dong-A University) ;
  • Lee, Sung-Keun (Dept. of Oral and Maxillofacial surgery, College of Medicine, Ko-Shin University)
  • 신상훈 (동아대학교 의과대학 구강악안면외과) ;
  • 박성진 (동아대학교 의과대학 구강악안면외과) ;
  • 이광호 (동아대학교 의과대학 구강악안면외과) ;
  • 이성근 (고신대학교 의과대학 구강악안면외과)
  • Published : 2000.06.30
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Abstract

Oral and Maxillofacial defects is produced by trauma or cancer surgery. This defects have been shown functional loss such as mastication, swallowing, speech and psychosocial esthetic problem. Oral and Maxillofacial defects is reconstructed by the use of many flaps. However although previous flap surgery was done, additional soft tissue defects can be still remained. In this case, Walk-Up flap that is introduced by Marx RE in 1990 is recommended for successful reconstruction. We report Walk-Up flap for reconstruction of remained soft tissue defects of tongue S.C.C. After induction chemotherapy, tongue S.C.C. is excised surgically and reconstructed by use of PMMC flap. Post-op infection results in surrounding soft tissue defect with oro-facial fistula. We have experienced a case of Walk-up flap by use of PMMC flap for reconstruction with satisfactory result, so we report it with literature reviews.

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