• 제목/요약/키워드: self recovery

검색결과 400건 처리시간 0.026초

Effects of cancer stigma on quality of life of patients with hepatobiliary and pancreatic cancer

  • Naru Kim;Danbee Kang;Sang Hyun Shin;Jin Seok Heo;Sungkeun Shim;Jihyun Lim;Juhee Cho;In Woong Han
    • 한국간담췌외과학회지
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    • 제27권2호
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    • pp.172-179
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    • 2023
  • Backgrounds/Aims: Cancer stigma (CS), a self-inflicted sense of hopelessness, has been identified as a major factor affecting cancer patients' outcomes. However, few studies have investigated the CS-related outcomes in hepatobiliary and pancreatic (HBP) cancer. Thus, the aim of this study was to investigate effects of CS on quality of life (QoL) of HBP cancer. Methods: From 2017 to 2018, 73 patients who underwent curative surgery for HBP tumor at a single intuitive were enrolled prospectively. The QoL was measured using the European Organization for Research and Treatment of Cancer QoL score, and CS was evaluated in three categories, "impossibility of recovery," "cancer stereotypes," and "social discrimination." the stigma was defined by higher scores of attitudes compared with the median value. Results: The stigma group showed a lower QoL (-17.67, 95% confidence interval [CI]: -26.75 to 8.60, p < 0.001) than the no stigma group. Similarly, most function and symptoms of the stigma group showed worse results than the no stigma group. The difference in function scores between the two groups according to CS was highest in cognitive function (-21.20, 95% CI: -30.36 to 12.04, p < 0.001). Fatigue showed the largest difference between the two groups at 22.84 (95% CI: 12.88-32.07, p < 0.001) and was the most severe symptom in stigma group. Conclusions: CS was an important negative factor affecting the QoL, function, and symptoms of HBP cancer patients. Therefore, appropriate management of CS is crucial for improved postoperative QoL.

면역조혈계 및 재생조직의 방사선 손상에 대한 생약복합물(HIM-I)의 방호 효과 (Effect of a Herb Mixture (HIM-I) on the Protection of the Hematopoietic-Immune System and Self-renewal Tissues against Radiation Damage)

  • 박혜란;김성호;이성태;변명우;조성기
    • 한국식품영양과학회지
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    • 제34권5호
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    • pp.605-612
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    • 2005
  • 방사선 생체손상의 방어 및 회복에 높은 효과를 나타내는 생약조합을 도출하고자 하였다. 이전의 연구에서 6가지 기존 보기${\cdot}$보혈 한약처방제의 방어효과를 검색하여, 재생조직 방어에는 사물탕 및 보중익기탕이, 조혈계 방어에는 보중익기탕 및 사물탕이 높은 효과를 나타내는 것으로 보고된바 있다. 본 연구에서 기존 6가지 처방제의 면역 세포 활성화 효과를 검색한 결과 모두 높은 효과를 나타내지 않았다. 따라서, 처방제의 구성 생약 각각의 효과검증 결과를 바탕으로 재생조직 방어, 조혈계 방어, 면역조혈계 회복 증진 효과를 동시에 높게 나타내는 새로운 생약조합을 도출하였다. 즉, 당귀, 천궁, 백작약을 동일 무게 비율로 혼합하여 열수 추출한 것을 새로운 생약복합물 HIM-I으로 개발하였으며 그 효과를 검정하였다. 본 생약복합물 HIM-I은 면역 세포 활성화에서는 상기한 한약처방제보다 월등하게 높은 효과를 보였으며, 조혈계 촉진효과도 높은 것으로 나타났다. 또한, 재생조직 및 면역조혈계의 방어 측면에서도 사물탕 및 보중익기탕과 같은 높은 효과를 보였다. 한편, 시험관 내에서 높은 항산화 효과를 나타내는 것으로 보아, 이 항산화 작용이 방사선 손상에 대한 방어효과의 작용기전 중의 하나로 생각되었다. 이상의 결과로 보아, 생약복합물 HIM-I은 재생조직방어, 조혈계 방어, 면역조혈계 회복 증진 효과를 동시에 나타냄으로써 방사선뿐만 아니라 여러 가지 원인으로부터 생체를 방호하고 회복시키는데 유용할 것으로 생각된다.

자살예방 프로그램이 초등학교 충동심리에 미치는 영향 (Effect of the Suicide Prevention Program to the Impulsive Psychology of the Elementary School Student)

  • 강수진;강호정;조원철;이태식
    • 한국방재안전학회논문집
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    • 제6권1호
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    • pp.65-72
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    • 2013
  • 본 연구에서는 청소년 자살 문제를 조기 자살 예방 프로그램을 통해 초등학생에 적용하고 프로그램 전과 후의 효과를 비교 분석하여 학생들의 감정 상태와 자살에 대한 충동 등, 심리상태 변화를 확인하였고, 자살예방 프로그램으로서 활용 가능성을 제시하였다. 청소년기는 인지적으로 미성숙하며 정서적으로 충동적인 시기이므로 발달 과정상 매우 불안한 시기이다. 사소한 자극이나 갈등상황에 대해 자살이라는 극단적 현실 도피, 충동적 문제해결 등의 방법으로 자살을 선택할 만큼 정서적으로 불안정하고 예측하기 어려운 시기이다. 최근 핵가족화와 부모들의 자식에 대한 기대감과 교육문제, 사회 환경적요인, 개인 심리적 요인 등의 많은 스트레스는 학생들을 자살이라는 극단적 행동까지 이르게 하고 있다. 이에 본 연구는 자살예방 프로그램을 초등학생 때부터 경험하는 스트레스의 영역과 자살생각과 충동의 정도를 파악하고, 명상교육, 호흡법 등의 예방 프로그램을 통해 분노조절, 감정정화, 자기극복 체험을 통해 긍정적인 자아정체성 확립과 자기조절 능력, 자존감과 생명의 소중함을 깨닫게 함으로 자살예방에 미치는 영향과 효과를 분석하였다. 연구 대상자는 고양시 관내 초등학교 6학년 2개 반 51명을 한 달 동안 매일 아침 30분씩 뇌과학 교육의 원리와 방법을 체험 및 활동 중심으로 진행 하였고, 수업활동지 및 생활 실천교육으로 내면화하여 학습효과를 높이도록 하였다. 자료 수집은 4주간 20회 차 아침수업 실시 전과 후에 자살 가능성을 효과적으로 예측할 수 있도록 개발한 Suicide Probability Scale(이하 SPS-A), 자살위험성 예측척도를 활용하여, 긍정적 전망, 가족 내 친밀감, 충동성, 대인 적대감, 절망감 징후, 절망감 증후군, 자살사고 등 7가지 영역으로 조사 실시 하였다. 분석 방법 및 검증은 SPSS 프로그램을 이용한 Wilcoxon's signed rank test를 이용하였다. 짧은 기간 동안의 프로그램 진행이었지만 평균 비교 분석 시 7가지 영역에서 효과적이고 긍정적인 결과가 나왔다. 그러나 t-test 결과에서는 또 다른 결과가 나왔다. SPS-A 31개 문항 중 3개 문항(7번, 14번, 19번)에서만 변화가 있고, 나머지 문항에서는 변화가 없는 것으로 나타났다. 또한 B반 학생들에 비해 A반 학생들이 변화가 큰 것으로 나타났다. 그리고 A반 학생들의 경우 7가지 영역 중 자살과 가장 밀접한 관계가 있는 절망감증후군과 자살사고 영역에서 프로그램 진행 후 심리적 변화가 있는 것으로 검증 됐다. 학생의 성향에 따라 또는, 프로그램을 진행하는 전문가(담임교사, 진행강사)에 따라 다른 결과가 도출된다는 것도 본 연구를 통해서 알 수 있었다. 본 논문에서 제시한 자살예방 프로그램은 지속적인 프로그램으로 제도화, 활성화 하여 정서적인 스트레스 해소 및 긍정적인 자아정체성 회복, 뇌파 안정을 통한 감정 및 충동 조절을 함으로 학습효과와 자살예방에 도움이 될 것이며, 짧은 시간의 교육 프로그램으로 사장되지 않고, 아동기 부터 청소년기까지 연계하여 정신적, 육체적으로 건강하게 성장할 수 있는 주변 환경을 조성함으로 사회적 문제인 자살 예방에 효과적인 프로그램이 될 것이라 판단된다.

산욕 초기 여성의 간호 요구에 관한 연구 (A Study on the Women's Need during early Postpartum)

  • 유은광;이미영;김진희;신추경;유순재;지수경
    • 여성건강간호학회지
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    • 제6권3호
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    • pp.439-452
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    • 2000
  • This study sought to figure out women's needs during early postpartum for developing adequate nursing intervention toward postpartal women's healthy adaptation. A convenience sample of 89 women who are in the early postpartal period and admitted in a university hospital located in Seoul, Korea was studied from July 1, 1999 to August 13. 1999. 1. The age group of 26-30 years was 52.8% and the level of education above high school 91%. 67.6% of women had no job, 62.9% had experienced one time of delivery, and 52.8% had no experience of abortion. 2. 31.5% of women received prenatal education, 44.9% only postpartal education. 77.5% of women planned breast-feeding, and 53.9% of women had an experience of breast-feeding during hospital stay. For the feeling of confidence related to the self-care, 27% only expressed 'yes. I have' and 59.5% 'just a little bit'. For the feeling of confidence related to the baby rearing, 29.2% only expressed 'yes. I have' and 60.7% 'just a little bit'. 3. The rate of postpartal women's mother as a preferred non-professional care giver was the highest, 75.3%. The rate of the style of Sanhujori highly preferred and planned at this time was at postpartal women's maiden home or her home with mother, 58.4%, 47.7% respectively. It shows that women still wish to have traditional Sanhuiori at home. 4. The mean of nursing need of postpartal women was 4.25% and it means that universally the degree of nursing need during postpartum is still high. General nursing need (4.29) was higher than that of traditional Sanhujori (4.09), however, the need of Sanhujori is still high. 5. Specifically, the degree of nursing need according to the category of needs was 'educational need for baby rearing,' 4.43; 'emotional-psychological care', 4.41; 'environmental care,' 4.31; 'self-care,' 4.14; and 'physical care,' 3.85 in rank. The educational need core of the specific method about Sanhuiori (4.35) was second to the highest among 15 items of self-care. 6. The related factors to the degree of nursing need were age to physical care; educational level, plan of breast feeding and experience of breast feeding during hospital stay to emotional-psychological care; and the feeling of confidence in baby rearing to environmental care. 7. There was highly positive correlation between the degree of traditional Sanhujori need and general care need(r=.77). This result strongly reflects that there is a necessity of professional care givers' capability to consider the integrative care reflecting the socio-cultural need for women's healthy adaptation during postpartum. It provides a challenge to the professional care givers to research further on the effects of Sanhuiori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhuiori not only as cultural phenomenon but as an inseparable factor influencing on women's postpartal healthy adaptation and for the appropriateness of intervention and quality of care for desirable health outcome.

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대퇴경부 골절 환자의 입원 생활 (The Hospital Life of the Patient with Femoral Neck Fracture)

  • 김경자;지성애
    • 간호행정학회지
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    • 제2권1호
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    • pp.35-56
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    • 1996
  • Nowerdays, the increase of traffic accidents and old age population make the Femoral Neck Fracture(FNF) patients increase. By the improvement of education and standard of living the patients demand better medical service than before. This study is designed to give practical help for the FNF patients by observing their hospital life and establish practical nursing strategies for the FNF patients. For these purposes the Ethnographic Participant Observation was adopted. By this study is focused on the hospital life patient's view. For this end, the field study adopted orthopedic ward in the C University Hospital with 400 beds in Seoul. The object patients of the study were twelve patients. The patients experienced five stages : Embarrassment, Conflict, Stability, Independent, and Extension Stage. The findings and prepared nursing strategies are stated as follows. First, in the Embarrassment Stage they suffered embarrassment, anxiety, pain, they could not do ordinary things. The patients who accidental fractures had anxiety from unfamiliar tests and from hospitalization itself. They lamented that they could not ordinary things, and do nothing but obeying the hospital, and endure the pain. They recognized the changed environment and resigned themselves to life in the ward. In this stage, full openness by the nurses is needed. Second, the attribute of the Conflict Stage were conflict, fear, curiosity, belief, reflection. When they sign the consentment form, they experience conflicts about the possibility of complication, fear of recovery from anesthesia, curiosity about the operation procedure, post - operation state, reflection on their past life, and promise to care for their family members after discharge and keep their religious life faithfully. And they accepted the operation depending on God, believing in modern medicine, and the surgeon. Asking for their changed informations, they expected positive results from the operation. In this stage, an empathic attitude by the nurses is needed. Third, the attribute of the Stability Stage were relief, gratitude, difficulty with excretion, and pain. When they awoke from anesthesia, they felt relief because of a the end of the operation, but they experienced extreme pain, difficulty of excretion in bed. They accepted the changed environment and expected recovery. In this stage, support by the nurses is needed. Fourth, the attributes of the Independence Stage were freedom, exercise, nurturing, anxiety, and discomfort. When they ambulated and exercised, they experienced freedom. They showed exhibited weakness of the digestive organs and discomfort hospital's space, structure, and facilities, the delay of medical certificate issue the lack of prompt response by the medical agents. They ate nurturious food and felt anxiety on the end of hospital life and returning to their ordinary life. They showed the independence of overcoming their environment by increasing exercise and expected their discharges. In this stage, respect by the nurses is needed for the patients to, overcome their environment and prepare for their independence. Fifth, the attributes of the Extension Stage were pessimism, isolation, dissatisfaction, and pain. Accompanied injury and old age made their ward life extend to over seven weeks. They exhibited weariness, melancholy, skeptisis, general pessimistic feeling, and desperation caused by their isolated life. They experienced the digestive discomfort caused by the prolonged medication and psycological pain caused by long-time hospitalization. As a, result, their dissatisfaction on the human, physical, and systematic environments had been increased. They acquired critical power and sought for something to do spending their time. They expected vaguely about the returning of their ordinary life. In this stage, counseling is needed by the nurse to overcome positively their psychological, social, and physical problems. The process of the FNF patient's ward life starts from the dependent state, when they are hospitalized, and gradually progresses to self-fulfillment in order to keep independent life. As a result, the FNF patients showed "Response in Challenge" or "Adaptation in Conflict" through their experiences of social, physical, and psychological difficulties.

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청소년기 또래관계의 형성을 통한 학교폭력상담의 활용에 관한 연구 (A Study on the Use of School Violence Counseling through the Formation of Peer Relationships in Adolescence)

  • 전승혜
    • 산업진흥연구
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    • 제5권4호
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    • pp.55-61
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    • 2020
  • 본 연구는 학교폭력을 해결하기 위한 학교폭력상담을 실시하는 데 있어서, 올바른 또래관계의 형성을 통해 학교폭력을 해결하기 위한 학교폭력상담의 활용 방안을 연구하였다. 본 연구를 통해서, 학교폭력상담에서 또래관계는 학교폭력을 예방하는 데 중요한 요소임을 알 수 있다. 연구결과는 다음과 같다. 첫째, 학교폭력상담은 우선적으로 피해자를 보호하고 치유해야 한다. 학교폭력상담의 1차적인 목표는 피해자에 대한 배려에서 시작되어 피해자의 올바른 또래관계 형성이 계속되는 데 두어야 한다. 그만큼 또래관계는 중요하다. 둘째, 학교폭력상담 피해자뿐만 아니라, 가해자도 내담자 대상에 포함되어야 한다. 즉, 상담개입 시에 통상적으로 피해자에게만 집중되는 일이 많을 수 있다. 따라서 학교폭력 후에도 또래관계는 계속 지속될 수 있으므로 피해자뿐만 아니라, 가해자에 대해서도 맞춤형 상담이 필요하다. 셋째, 학교폭력상담은 또래관계의 회복과 삶에 대한 통찰이 중요하다. 따라서 징계나 훈계 위주의 통제적 관점이 아닌, 자기성찰을 통한 반성과 당사자들 간의 관계회복에 중점을 두어야 한다. 넷째, 학교폭력에서 또래관계의 중요성을 인식하고, '또래상담 프로그램'을 활성화해야 한다. 따라서, 학교폭력상담자는 그 역할에 있어서, 정서적 조력자, 문제해결자, 공감배려 문화촉진자로서의 활동을 할 수 있도록 현장 요구를 반영하여 프로그램을 최적화시켜야 한다. 결론적으로 학교폭력상담은 기본적으로 또래관계에서 개입되어야 한다. 학교폭력상담은 학교폭력을 근절하기 위해 올바른 또래관계의 형성에 초점을 맞추어 프로그램을 개발하고, 실행하여야 한다.

서울지역 거주자의 건강식품 구매행동에 관한 연구 (A Study on the Purchase Behavior for Health Food of Residents in Seoul Area)

  • 남궁석;김규동
    • 동아시아식생활학회지
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    • 제11권6호
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    • pp.455-465
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    • 2001
  • In a rapidly changing society, the rise in standard of living and level of education has brought about a Qualitative change in consumption, especially food consumption. Accordingly, consumers' interest in and the consumption of health foods has also grown at a rapid pace, expanding the health food market. However. because of the consumer's lack of understanding and knowledge about health foods, the reality is a difficulty in establishing sound consumption. Accordingly, this study was conducted to analyze the consumers' purchase behavior for health food. Through this study, consumers will be able to rationally plan for the use of health food items and further to provide necessary information for planning and executing effective marketing strategies producers and distributors of health foods items. The subjects of this study are the 473 Seoul residents over the age of 20 who have used health food items in the past year. The result of this study showed the use of fatigue rehabilitators, with 93.2% of the respondents saying they have used it. was the highest. with natural products honey, vitamin supplements. restorative foods, mineral supplements, young-gi fellowing in order. Recovery from fatigue. with 3.81, was the top reason the respondents started using health food items, followed by maintenance of health, supplement nutrition. and prevent disease. Family and relatives topped the list of information sources with 3.76. followed by TV and friends. On the other the Internet(2.32) and radio(2.35) were shown to be the lowest information sources. Those surveyed listed quality(4.00), safety(3.99). and nutrition(3.93) as evaluative criteria for health food items, in order of importance. The place of purchase most frequented by consumers in the survey were specialty stores(35.3%) leading the way with department stores and door-to-door sales, pharmacy following behind. On the other hand. purchases from direct mail were the lowest with 1.5% The people who bought health food Items were shown to be parent/siblings(37.2%) , self(33.6%) followed by spouse(23.7%) Purchases made by children were very low with only 4.9%. Finally, the level of satisfaction after using health food products were generally not very high. Consumers seem to be satisfied with the effectiveness(3.37) and safety (3.15) of the products. which is very minute, and they were slightly dissatisfied with the quality of the products.

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Grain Refinement를 통한 Mg-Ca-Zn합금의 기계적 특성 및 부식 특성 향상 (Improvement of Mechanical and Corrosion Properties of Mg-Ca-Zn Alloy by Grain Refinement)

  • 김대한;최종민;임현규
    • 한국산학기술학회논문지
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    • 제18권9호
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    • pp.418-424
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    • 2017
  • 마그네슘은 다른 금속들에 비해 비강도가 높으며, 우수한 진동 흡수능, 전자파 차폐성 등으로 산업 전반에 많이 활용되고 있다. 예를 들면, 자동차 시트 프레임, 실린더 헤드 등 자동차 부품으로도 사용되며 노트북 케이스, 핸드폰 케이스 등의 전자제품에도 널리 사용되고 있다. 또한 신체의 뼈가 금이 가거나 부서졌을 경우, 그 손상된 뼈의 치료를 보조하기 위해 사용되는 골 접합용 임플란트 재료로 각광받고 있다. 현재 임플란트 재료로는 Ti alloy, Stainless steel, Co-Cr-Mo alloy등이 사용되어 지고, Mg 합금은 연구단계에 머물러 있다. 현재 골접합용 임플란트 재료의 문제점으로는 한번 접합 수술 후에 회복이 되면 이것을 제거하기 위한 수술을 또 해야 한다는 점이 있다. 하지만 마그네슘은 현재 재료와 비교하여 충분한 강도를 실현 할 수 있으며, 일정시간 후 자체적으로 분해되고 인체에 무해한 원소기 때문에 연구가 진행되고 있다. 그러나 순수 Mg으로는 충분한 강도와 내식성을 가질 수 없기 때문에 합금원소를 첨가하여 Mg 합금을 설계한다. 본 논문에서는 마그네슘에 인체에 무해한 Ca, Zn를 첨가하여 합금을 설계하였고, 추가적으로 강도와 내식성을 향상시키기 위해서 Grain refiner로서 Sr을 소량 첨가하여 최종 합금을 설계하였다. Sr은 방사선 원소는 인체에 유해하지만, 그 외 천연 Sr 원소는 인체에 무해하다. 이렇게 제조된 합금을 광학현미경, 주사전자현미경을 통해 미세조직분석을 수행하고, 인장시험, 동전위 분극 시험, 침지시험을 통해 기계적 특성 및 부식특성을 평가하였다. 결론적으로, Sr 첨가에 의해 조직이 미세해졌으며, 기계적 특성 및 내식성이 향성된 것을 확인 할 수 있었다.

미용업종사자의 미용기기 사용에 대한 분쟁해결과 정책적 과제 (Conflict resolution and political tasks on the usage of beauty care devices by beauty artists)

  • 김주리
    • 한국중재학회지:중재연구
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    • 제27권2호
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    • pp.83-105
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    • 2017
  • In contemporary society interest in and consumption of beauty treatment are increasing, raising interest in health and beauty. However, beauty-related laws are becoming factors of hindrance of beauty development. Currently the Public Health Control Act plays a basic role in the beauty art business in Korea, However the contents are in discord with international laws and its definition is not clear. Therefore it is causing conflicts of different occupations and job associations which are similar to art business. Especially, because neither definitions nor policies on beauty care devices exist in the Public Health Control Act, beauty care devices using in foreign countries cannot be used in Korea due to classification as medical devices. Under this circumstance, therefore, beauty care device uses by beauty artists violate the law. The government has tried to solve these irrational regulations. Recently, the Small and Medium Business Administration announced 'the improvement plan of small business and young founders site regulation for public economy recovery' in a ministerial meeting on December 28, 2016. Regulations on policy preparation for skincare devices were inclusive in this announcement. It is the question whether the regulations will be executed or not. Even though beauty industrial competitiveness was presented in the 18th Presidential Council on National Competitiveness in 2009, it was not practiced. The proposal bills for beauty law improvement have been put forth several times since 2000 including an improvement plan for regulating beauty care devices. However, so far there have been no improvements. The damage on the regulation classifying beauty devices as medical devices is not only restricted to skincare. This develops beauty devices and the beauty industry which imports and exports beauty devices. When beauty devices are exported, complicated procedures are unavoidable and when beauty devices are imported, irrational problems like reregistration procedures and costs occur. The reason why an improvement plan has not gone into practice is the resistance of the dermatologists' association. Dermatologists tend to stand positively against harming public health by saying that beauty devices used by beauty artists cause people to suffer side effects. In contrast, anyone who has a licence to use beauty devices is able to use them in foreign countries. It is not only infringement of one's right as a beauty artist but also people's right to receive beauty care services. With this reason, Korean's current law under which beauty devices are ruled as medical devices should be revised with accordance to domestic surroundings. Therefore in order to advance and globalize the beauty industry, the support and cooperation of the Korean government and relevant associations is needed to legislate and revise the beauty devices laws. The relevant associations abandon regional self-centeredness and cooperate to define ranges, size and management of beauty devices for safe use. If no collaboration exists, an arbitration agency should be established to solve the problem.

구강내 연조직 암 절제후 상부기조 광경근 근피부 경부 피판을 이용한 구강내 재건에 관한 임상적 연구 (A CLINICAL STUDY ON SUPERIORLY BASED PLATYSMA MYOCUTANEOUS CERVICAL FLAP FOR RECONSTRUCTION FOLLOWING INTRAORAL SOFT TISSUE CANCER SURGERY)

  • 박봉욱;변준호;신희석;김종렬
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권1호
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    • pp.83-91
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    • 2008
  • The goal of reconstruction following ablative therapy for intraoral cancer is the restoration of form and function to permit a return to activities of daily life. Traditional reconstruction includes split thickness skin grafts, myocutaneous flaps and, more recently, various free flaps. Free flaps provide higher level of functional recovery relative to that seen with other techniques but require the complexity of the technique and microvascular anastomosis and thus, extended surgical time and occasionally a second team for harvesting. The platysma myocutaneous cervical flap is a possible alternative for intraoral reconstruction. It is thin and pliable like the tissue provided by the radial forearm free flap. It can be harvested with enough tissue to close most head and neck ablative defects. There is virtually no donor site morbidity involved. This study evaluated 7 patients affected by intraoral squamous cell carcinoma (SCC). All patients underwent the resection of intraoral SCC with neck dissection and subsequent intraoral reconstruction with the superiorly based platysma myocutaneous cervical flap. Flap-related complications occurred in 3 patients. Adjuvant radiation therapy was performed in 3 patients. Average follow-up was 24.1 months after surgery, with a range of 8 to 42 months. All patients presented self assessment of discomfort associated with intraoral recipient sites and cervical donor sites. However, the neck function measured by two-inclinometer technique was within the normal range during relatively long term follow-up period. Our study concluded that superiorly based platysma myocutaneous cervical flap is good alternative to free flaps, especially for relatively smaller defects and for the defects appropriate for the rotation arc of the flap.