Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

Reconstruction of Complex Zygomatico-Maxillary Defect Using the Free Vascularized Cutaneous Flap and Autogeneous Bone Graft: Case Report

유리피판 및 자가골 이식을 이용한 복합 관골-상악결손 재건의 치험례

  • Park, Ji-Hoon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Jang, Jung-Woo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Choi, So-Young (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Chin-Soo (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kwon, Tae-Geon (Department of Oral & Maxillofacial Surgery, School of Dentistry, Kyungpook National University)
  • 박지훈 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 장정우 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 최소영 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 김진수 (경북대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 권대근 (경북대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.10.14
  • Accepted : 2010.12.28
  • Published : 2011.01.31
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Abstract

Maxillary defects are inherently complex because they generally involve more than one midfacial component. In addition, most maxillary defects are composite in nature, and often require bony support, as well as a mucosal lining for reconstruction. Therefore, midfacial bone and soft tissue defects present a unique challenge because they require a complex arrangement of tissues in a relatively limited space. This might be difficult to achieve only with free osteocutaneous flaps. The use of bone grafts allows greater flexibility in a reconstruction but is limited by graft resorption. We report a case of a patient reconstructed with a lateral arm free flap, iliac bone graft, sagital split ramus osteotomy for the reconstruction of a right maxillary defect zygomatico-maxillary defect caused by a zygomatico-maxillary malignant tumor resection.

Keywords

References

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