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KMID : 0358819820090010071
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1982 Volume.9 No. 1 p.71 ~ p.75
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RECONSTRUCTION OF MANDIBULAR DEFECT WITH FREE GROIN OSTEOCUTANEOUS FLAP
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李鍾鉉/Lee, J.H.
金東九/許準坪/辛鉉泰/梁元容/朴哲圭/Kim, D.K./Hur, J.P./Shin, H.T./Yang, W.Y./Park, C.K.
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Abstract
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t is difficult problem that the reconstruction of bone and soft tissue defect of the mandible is obtained together. If the recipient site is scar bed and inadequately covered with soft tissue, it is more difficult problem to be solved. This problem has not been solved satisfactorily by conventional methods. Now clinical microvascular surgery has been established. And it is true too many trials have been done to solve many problems by micro vascular surgery.
The free skin flap transfer in man was performed successfully to repair a compo - und ankle injury for the first time in 1973 by Daniel and Taylor, and in 1974 the free vascularized bone graft was evolved to repair a massive -defect of the tibia. Then in 1975, these two were successfully married as a composite when Buncke and co - worker did a free transfer of part of a rib with its overlying skin to repair a tibial pseudoarthrosis .
The micro vascular surgery has a morbidity of their own in fact, but offer some advantages also.
We used groin osteocutaneous flap based on deep circumflex iliac vessels to reconstruct the mandibular defect which had been resulted from gunshot. The result is satisfactory.
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