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KMID : 0358820040310060790
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2004 Volume.31 No. 6 p.790 ~ p.794
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The Treatment of Penile Paraffinoma Using Various Scrotal Flap
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최창용/Choi CY
박은수/탁민성/이영만/김용배/Park ES/Tark MS/Lee YM/Kim YB
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Abstract
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Paraffin injection for augmentation of penis is usually attempted by untrained persons. Complications such as penile deformity, skin necrosis, erectile dysfunction, and foreign body sensation usually follow. Definite treatment for the patients with those complications includes complete removal of skin and subcutaneous tissue infiltrated by the paraffin and resurfacing with skin graft and local flap. It may not be possible to remove paraffinoma completely due to infiltrated corpus cavernosum and spongiosum. The remnant paraffinoma does not permit skin graft coverage. For the patients who had these problems, we tried techniques comprised of various scrotal flaps to produce reliable and stable coverage. The scrotal skin, which has high elasticity and good texture, seems to be a good material for denuded penis coverage, despite its hairy nature. Since March 1998, 21 patients with penile paraffinoma have been treated using the various scrotal flaps. All flaps survived and the reconstructed penis had immediate postoperative tactile sensibility. The results were successful with no other major complications.
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KEYWORD
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