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KMID : 0358819830100020207
Journal of Korean Society of Plastic and Reconstructive Surgeons
1983 Volume.10 No. 2 p.207 ~ p.215
RECONSTRUCTION OF THE DEFECT OF ORAL CAVITY





Abstract
Defects of oral cavity occur in the course of treatment by surgery of cancer in the head and neck. More often they are the results of surgery after previous operation and irradiation already have been tried in an attempts to eradicate the primary cancer. The methods for repairing the oral cavity are variable and vary depending upon existing conditions and individual preference. Familiarity with the different techniques is necessary so that one suitable for the problem may be selected. Several methods of repair are known which utilize flaps designed from the forehead, the neck and deltopectoral area, but reconstruction with these flaps often fails because of the poor vascular supply due to previous surgery and irradiation in this area. So it is necessary to select the flap which not only have more abundant vascular supply but also serve to nourish the scarred bed, damaged by irradiation, that is implanted, Myocutaneous flaps have the advantage of transffering well vascularized tissue for reconstruction. Moreover. the free flap transfer has not yet proven to be toughly reliable, if it is indicated in selected cases, it may be a better reconstruction for the repair of the oral cavity. In this papers, we demonstrate the versality and different kinds of the methods which were used by describing experineces of 8 flaps, 7 myocutaneous flaps and 1 free flap.
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