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KMID : 0358819800070020391
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1980 Volume.7 No. 2 p.391 ~ p.395
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Treatment of Maxillo-Mandibular Fusion with Soft Tissue Defect
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李道鉉/Lee, Do Hyun
吳錫俊/李世一/Oh, Suck Joon/Lee, Sae Il
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Abstract
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Ankylosis of temporomandibular joint is classified as intra-articular, or true, and extra-articular, or false ankylosis. The extra-articular type is caused by pathologic conditions outside the joint, which usually result in the formation of strong fibrous adhesions that limit the mandibular movements.
In the repair of the maxillomandibular fusion with soft tissue defects, providing satisfactory lining, as well as excess tissue, for the adequate reconstruction of buccal sulci is highly important.
Larger areas may be closed with skin graft or pedicle flap for the lining defect. Postexcisional full thickness cheek defects are amendable to repair by temporal flaps, simultaneous temporal and deltopectoral flaps.
Authors report two cases of maxillomandibular fusion with soft tissue defect. The maxillomandibular fusion was corrected by excision of scar tissue and skin graft. Soft tissue defects of the cheek was reconstructed as followings; One case was repaired by the adjacent tissue of defect turned down to form lining and bilobed flap as skin cover, and the other, cervical flap for lining and deltopectoral flap for skin cover.
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