대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제27권1호
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  • Pages.12-16
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  • 2011
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

두경부암 수술 후 발생한 합병증에서 대흉근피판의 임상적 유용성

The Use of Pectoralis Major Myocutaneous Flap as Salvage Procedure in Complications after Head and Neck Surgery

  • 주영훈 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 조광재 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 박준욱 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 남인철 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 선동일 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 김민식 (가톨릭대학교 의과대학 이비인후과학교실)
  • Joo, Young-Hoon (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine) ;
  • Cho, Kwang-Jae (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine) ;
  • Park, Jun-Ook (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine) ;
  • Nam, In-Chul (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine) ;
  • Sun, Dong-Il (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine) ;
  • Kim, Min-Sik (Department of Otolaryngology-HNS, The Catholic University of Korea, College of Medicine)
  • 발행 : 2011.05.27
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초록

Background and Objectives : The pectoralis major myocutaneous flap(PMMCF) has been considered to be the "workhorse" of pedicled flaps in head and neck reconstruction. Even with the worldwide use of free flaps, the PMMCF is still considered the mainstay in head and neck reconstruction. The aim of the study is to evaluate the application and reliability of the PMMCF in selected cases of head and neck complication. Materials and Methods : We conducted a retrospective review of 14 patients who underwent the surgical reconstruction using the PMMCF due to the complications after head and neck ablative surgery between 1997 and 2007. Outcome measures included the indications of PMMCF, complications and post-operative functional result. Results : PMMCFs were used to reconstruct defects in the following series; wound dehiscence(7 patients), flap failure(4 patients), pharyngocutaneous fistula(3 patients). Flap survival was 100 percent and mean flap size was $67.2cm^2$. Five patients had complications such as pharyngocutaneous fistula, marginal necrosis, carotid blowout. Conclusions : The PMMCF is a safe and convenient method for reconstruction of the surgical complications after resection of advanced tumors and can be still used as a salvage procedure after free flaps failure.

키워드

참고문헌

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