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KMID : 0361020110540020174
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Korean Journal of Otolaryngology - Head and Neck Surgery
2011 Volume.54 No. 2 p.174 ~ p.178
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Six Cases of Reconstruction with Latissimus Dorsi Pedicled Flap for Head and Neck Defects in the Era of Free Flap Reconstruction
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Chung Hyun-Chung
Choi Ik-Joon
Kim Kwang-Hyun
Hah Jeong-Hun
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Abstract
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Reconstruction with free flaps has become the choice of reconstruction for most patients with head and neck defects. However, pedicled flaps, such as pectoralis major pedicled flap and latissimus dorsi pedicled flap (LDPF), can also be used instead in selected patients. We performed LDPFs in 6 patients from November 2007 to September 2009. Five of the patients were females with either vascular diseases or large skin defects, or they were highrisk old patients. One male patient received LDPF as a salvage after tongue reconstruction with a free flap failed. Various types of head and neck defects were effectively managed with LDPF without complications. LDPF can be one option for head and neck reconstruction especially in patients who may hve high risk in undergoing free flap reconstruction.
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KEYWORD
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Latissimus dorsi flap, Pectoralis major myocutaneous flap, Pedicled flap, Free flap reconstruction
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