실리콘 보형물을 이용한 척추측만증 배부 윤곽변형 교정수술

Correction of the Dorsal Contour Deformity Caused by Scoliosis with Silicone Implant

  • 박지웅 (동국대학교 의과대학 일산병원 성형외과학교실) ;
  • 조상헌 (동국대학교 의과대학 일산병원 성형외과학교실) ;
  • 신종인 (동국대학교 의과대학 일산병원 성형외과학교실) ;
  • 김창연 (한양대학교 의과대학 성형외과학교실)
  • Park, Ji Ung (Department of Plastic and Recnstructive Surgery, Dongguk University International Hospital) ;
  • Cho, Sang Hun (Department of Plastic and Recnstructive Surgery, Dongguk University International Hospital) ;
  • Shin, Jong In (Department of Plastic and Recnstructive Surgery, Dongguk University International Hospital) ;
  • Kim, Chang Yeon (Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University)
  • 투고 : 2007.04.19
  • 발행 : 2007.11.10

초록

Purpose: Scoliosis is a multifactorial disorder caused by genetic, biochemical, developmental, neuromuscular factors and causes complex deformities which include skeletal deformity, pain, cardiovascular dysfunction, motor function disorder. Until now, the treatment of scoliosis have been focused on orthopedic correction, preservation of cardiopulmonary and neurologic function. But recently, as aesthetic demands increases, the needs for the correction or improvement of the trunk and extremity contour does. So, the correction of soft tissue contour deformity can be a new concept for the treatment of scoliosis. Methods: We corrected a deformed contour with prefabricated silicone implant in a scoliosis patient who had been operated for orthopedic correction previously. Submuscular pocket was made under trapezius and latissimus dorsi muscle. Silicone implant was placed in the pocket and fixed to thoracolumbar fascia with sutures. Results: We had a satisfactory results for the correction of contour deformity. There was no significant complication. Conclusion: Silicone implant is a new trial for the correction of scoliosis contour deformity. This method is simple, safe and brings on satisfactory results.

키워드

참고문헌

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