Archives of Plastic Surgery

  • 제34권3호
  • /
  • Pages.330-335
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  • 2007
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
권호 표지

유리 전외측 대퇴부 피판과 유리 요측 전박피판을 이용한 설재건 시공여부 및 기능적 결과 비교

The Comparison between Anterolateral Thigh Free Flap and Radial Forearm Free Flap in Partial Glossectomy Defect - An Evaluation of Donor Site Morbidity and Functional Outcome

  • 조상현 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 이원재 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 유대현 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 탁관철 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소)
  • Cho, Sang Hyun (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lew, Dae Hyun (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Tark, Kwan Chul (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine)
  • 투고 : 2006.12.19
  • 발행 : 2007.05.10
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초록

Purpose: The purpose of this study is to evaluate the functional outcome and donor site morbidity of anterolateral thigh free flap(ALT) compared to Radial forearm free flap(RFFF) for the reconstruction of partial glossectomy defect. Methods: 5 ALT free flap (group I) were attempted for partial glossectomy patients. We compared patients undergone ALT flap with those(n=11) of similar size defect reconstructed with RFFF (Group II). Rating scales for articulation and swallowing function were applied and donor site morbidity have been evaluated. Results: The scales for speech function showed no difference between the two groups (average score; group I - 6.4, group II - 6.45). Swallowing function also showed no difference between the two groups(average score; Group I - 6.6, Group II - 6.27). ALT group had one patient with donor site morbidity(numbness). All of the RFFF patients(11/11) complained and suffered from hypertrophic scar, retraction, numbness or hyperpigmentation on forearm donor site. Based on our study, ALT free flap is comparable to that of RFFF in terms of functional assessment in tongue reconstruction. Conclusion: Considering the donor site morbidity, ALT flap is to be valuable to reconstruct partial glossectomy defect.

키워드

참고문헌

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