대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제38권1호
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  • Pages.53-57
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  • 2022
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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요측전완과 이개전부 유리피판을 이용한 아전상악절제술과 비주결손의 동시 재건

Simultaneous Reconstruction of a Subtotal Maxillectomy and Columella Deficit using Radial Forearm and Preauricular Free Flaps

  • 윤태근 (분당서울대학교병원 성형외과학교실) ;
  • 은석찬 (분당서울대학교병원 성형외과학교실) ;
  • 조성우 (분당서울대학교병원 이비인후과학교실) ;
  • 이재서 (분당서울대학교병원 이비인후과학교실)
  • Yoon, Taekeun (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Eun, Seokchan (Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Cho, Sung-Woo (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Rhee, Chae-Seo (Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 투고 : 2021.08.27
  • 심사 : 2021.12.24
  • 발행 : 2022.05.30
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초록

Reconstruction of subtotal maxillectomy defects with columella deficit is challenging. We report a unique case of facial reconstruction using a free radial forearm flap and a free preauricular flap for the maxillectomy and columella deficit. A 73-year-old woman was diagnosed with recurrent sebaceous carcinoma of the nose. We performed wide excision, including areas of the right cheek, nose, upper lip, maxilla, and columella. The resultant subtotal maxillectomy defect was reconstructed using a three-dimensional flap. First, a free radial forearm flap was transfered to resurface the nasal, oral, and external facial side. Second, a preauricular flap was positioned into the columella defect and anastomosed with the distal portion of the radial forearm flap pedicle. The two flaps survived, and the patient recovered uneventfully. We believe the radial forearm and preauricular double free flaps with the pedicle connection method were effective in reconstructing the present case of subtotal maxillectomy defect.

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참고문헌

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