Archives of Reconstructive Microsurgery

The Korean Society for Microsurgery (대한미세수술학회)
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Total Maxillectomy Defect Reconstruction Using Bipedicled Scapular Osteocutaneous Free Flap: 3 Cases

전 상악골 절제술 후 양경 유리 견갑 골-피부 피판을 이용한 재건 3례

  • Kim, Jung-Min (Department of Plastic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Ha, Bom-Jun (Adel Skin-Plastic Surgery) ;
  • Mun, Goo-Hyoun (Department of Plastic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Hyun, Won-Sok (Department of Plastic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Bang, Sa-Ik (Department of Plastic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Oh, Kap-Sung (Department of Plastic Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University)
  • 김정민 (성균관의대 삼성서울병원 성형외과학교실) ;
  • 하범준 (아델 성형외과) ;
  • 문구현 (성균관의대 삼성서울병원 성형외과학교실) ;
  • 현원석 (성균관의대 삼성서울병원 성형외과학교실) ;
  • 방사익 (성균관의대 삼성서울병원 성형외과학교실) ;
  • 오갑성 (성균관의대 삼성서울병원 성형외과학교실)
  • Published : 2003.05.31
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Abstract

We used bipedicled scapular osteocutaneous free flap for total maxillectomy defect reconstruction in 3 cases of malignant maxillary tumor. We elevated two flaps of the skin paddle and the bone flap with one common pedicle - the subscapular artery - which was devided to the angular branch of the thoracodorsal artery and the circumflex scapular artery to reconstruct the nasal cavity, the palate and the zygoma. The angle between the two flaps was free enough so that we could transfer the two flaps through a single microanastomosis. After the operation, patients could swallow and pronounce well, and the wound contracture was minimal so that we could get aesthetically good result.

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