KMID : 0360119930150010001
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons 1993 Volume.15 No. 1 p.1 ~ p.6
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A case report of orbital floor reconstruction with temporal muscle-coronoid process flap
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Abstract
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The maxillary squamous cell carcinoma is major part of maxillary malignant tumor. The treatment of maxillary malignancy tumor is the maxillectomy in combination with radiation therapy and chemorherapy. When tumor invasion is occured to the obit,
orbital
exenteration is required. But if the periosteum of the orbital floor is intact, the orbit can be preserved. there are many orbital floor reconstruction materials for the prevention of ptosis of the orbital content. The patients on this paper were
diagnosised as squamous cell carcinoma on maxialla, We performed the partial maxillectomy including the orbital floor. and we used temporalis muslce-coronoid process flap for the reconstruction of the orbital floor after partial maxillectomy and
obtained good esthetic and functional results, as followed.
1. We obtained sufficient flap width for defect of orbital floor.
2. It pernits good blood supply and no necessary other donor site.
3. It gives a solid base for the support the globe and the orbital floor.
4. It gives minimal postoperative morphorgical defect and functional disturbance.
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KEYWORD
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