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KMID : 0362720100480080607
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Journal of the Korean Dental Association
2010 Volume.48 No. 8 p.607 ~ p.614
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Reconstruction of oral cancer patients
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Yoo Sang-Il
Ahn Kang-Min
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Abstract
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Reconstruction after ablative oral cancer surgery is challenging mission. Soft tissue and hard tissue could be resected in case of advanced oral cancer. The final goal of oral reconstruction is to gain normal swallowing, chewing and speech. Nowadays, free flap reconstruction after oral cancer resection is more popular than pedicled flap. Microsurgical reconstruction with free flap could be used effectively in complicated cases of oral cavity defect. However, complications could be happened. So not only meticulous preoperative study about the extent of defects but also the donor site dressing after surgery were performed to prevent postoperative complication. The most favorite free flap for soft tissue reconstruction is radial forearm flap. It has a lot of advantages such as pliable, hairless, reliable vessels, appropriate diameter of radial artery and diverse flap design. And the most popular free flap for jaw reconstruction is free fibular flap. In this article,we report the classification of flap for reconstruction and reveal the pits and falls of radial forearm free flap and free fibular flap.
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KEYWORD
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Oral cancer, free flap, radial forearm free flap, free fibular flap, recons
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