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KMID : 0361019950380030454
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Korean Journal of Otolaryngology - Head and Neck Surgery
1995 Volume.38 No. 3 p.454 ~ p.458
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Design of Pectoralis Major Myocutaneous Flap for Reconstruction of the Tonsillar Area
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최은창
김은서/이정준/김광문/홍원표
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Abstract
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The oropharyngeal defect after radical removal reveals valley shaped one with loss of a wide mucosal area. But its space is quite small. Using pectoralis major myocutaneous flap to this defect is sometimes difficult due to its natural figure of
bulkiness.
The author modified design of the flap from oval to kidney shaped bilobular one. The advantages of this modification are easier folding of the flap, smoother configuration.
This article reviews patients modified flap design in 14 undergoing pectoralis major myocutaneous flap in carcinoma of the oropharynx. Conventional oval shaped flap was used in 8 patients and bilobular flap was used in 6 patients. Total loss of
the
flap
was occured in one case of the bilobular flap, but other complications were more common in oval flap. Bilobular modification of the pectoralis flap was more easier to manipulate, so it fits more safely to the valley shaped oropharyngeal defect.
(Korean
J Otolaryngol 38:3, 1995)
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