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KMID : 0360119940160010001
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1994 Volume.16 No. 1 p.1 ~ p.11
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Using of the temporalis muscle and fascia fla for maxilla reconstruction
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김영조
이동근/김귀희/윤성필/정창주/진국범
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Abstract
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The functional deformity following removal of the maxilla is considerable, especially following maxilla cancer excision. Rehabilitation of oral and maxillofacial region used to be very difficult with prosthesis or traditional flaps. Temporal
muscle
and
fascia flaps have been described for immediate reconstruction following hemi-maxillectomy, but not total maxillectomy. The muscle and superficial fascia of the temporal area differ in their physical characteristics, vascular supply and clinical
applications. Both can be employed independently or simultaneously as regional flaps in the reconstruction of variety of complex craniofacial defects. Four case if presented in which 3 case maxilla cancer, one case non-union after maxilla
fracture,
and
all case showed successful use of this flap. Only one patient developed partial necrosis of the flap; significant necrosis did not occur in any other patient. This present paper reviews the anatomy, surgical technique and utilisation of temporal
muscle
and fascia flaps
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KEYWORD
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