A Case of Immediate Mandibular Reconstruction Using Fibular Osteoseptocutaneous Flap after Resection of Retromolar Trigone Cancer
구후 삼각암의 광범위 절제 후 비골 골피판을 이용한 하악골 동시 재건술 치험 1례
전, 영명; 고, 중화; 이, 원석; 박, 명철
Taehan Ibi Inhukwa Hakhoe chi, 39(4):708-713, 1996
Taehan Ibi Inhukwa Hakhoe chi; Journal of the Korean Otolaryngological Society; 대한이비인후과학회지
Mandibular reconstruction with free flap has become a well-established technique. Effort are now focused on obtaining superior functional and aesthetic results. Improvements in the quality of the latter are possible with a systematic approach to
the bone graft. The fibula provides as much as a 25-cm segment of bone, more than enough to reconstruct any mandible defect. It has a consistent shape throughout its length, a charecteristic that faciliates the contouring process. Owing to
segmental periosteal blood supply, the fibula can be osteotomized as many times as necessary to reproduce subtle nuances in mandible shape. This bone represents the ideal raw material or replacing a missing segment of mandible with great
superior tissue qualities and veratility make it well suited for most most mandible defect.
The authors experienced one case of retromolar trigone cancer excized surgically and reconstructed suing fibular osteoseptocutaneous flap, one stage. So, we report it with the review of anatomy and surgical technique.
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