Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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A Case of Primary Reconstruction using Fibular Osteocutaneous Free Flap after Total Maxillectomy Due to Rhabdomyosarcoma

횡문근육종으로 인한 상악골 전절제술 후 유리비골골피판을 이용한 치험례

  • Kim, Tae Hyung (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Oh, Deuk Young (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Lee, Paik Kwon (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Min Sik (Department of Otolaryngology, College of Medicine, The Catholic University of Korea) ;
  • Rhie, Jong Won (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea) ;
  • Ahn, Sang Tae (Department of Plastic Surgery, College of Medicine, The Catholic University of Korea)
  • 김태형 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 오득영 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 이백권 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 김민식 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 이종원 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 안상태 (가톨릭대학교 의과대학 성형외과학교실)
  • Received : 2005.03.16
  • Published : 2005.05.10
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Abstract

Rhabdomyosarcoma is a rare malignancy of head and neck region. When rhabdomyosarcoma occurs in maxillary area, total maxillectomy is necessary. Total maxillectomy causes defects of orbital floor, palate, gingiva, and alveolar bone, causing severe facial deformity and functional impairment. Immediate maxillary reconstruction has to cover both bone and soft tissue to minimize cosmetic and functional problems. The fibular osteocutaneous free flap can provide paranasal, gingiva, oral mucosal lining and foundation for dental prosthesis, thus ensuring good cosmetic results and mastication, phonation function. We have experienced a reconstruction case of a 19-year-old man with rhabdomyosarcoma of the left maxillary sinus. The patient underwent total maxillectomy and neck dissection. We designed a fibular free flap that had a vascularized bone segment and a double skin paddle. Surgical outcomes were excellent in cosmetic and functional aspects.

Keywords

References

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