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KMID : 0358819910180010039
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1991 Volume.18 No. 1 p.39 ~ p.46
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MAXILLAR RECONSTRUCTION WITH FREE FLAP AFTER TOTAL MAXILLECTOMY
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Abstract
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Malignant tumor of the head and neck can be treated by radical excision of the lesion. But the resultant facial deformity acts as a handicap in the patient´s life. The quality of life is as important as the quantity. Therefore reconstruction of these patients is an important field in plastic surgery.
We used 3 kinds of flap for reconstruction after maxillectomy Two cases were late reconstruction with Rectus Abdominis myocutaneous free flap and parascapular free flap respectively. In remaining one case, immediate reconstruction was performed with rib bone graft and Latissimus Dorsi free flap.
The results were satisfactory. But we found that ptosis of the flap is problem in all cases.
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KEYWORD
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