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KMID : 1036320130350020100
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Maxillofacial Plastic and Reconstructive Surgery
2013 Volume.35 No. 2 p.100 ~ p.106
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Tunnelized-facial Artery Myomucosal Island Flap (t-FAMMIF) for Palatomaxillary Reconstruction: A Report of Two Cases
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Ryu Da-Jung
Jang Hyo-Won
Park Hye-Jeong
Kim Hyung-Jun
Cha In-Ho
Nam Woong
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Abstract
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There are many challenges for reconstruction after intraoral tumor resection. Especially, palatomaxillary reconstruction has two primary goals: closure of the oronasal communication and re-creation of proper myomucosal function. Prosthodontic treatment using obturator and several surgical procedures are selected depending on the size and site of the defect, the difficulty of operative procedure, operation time and donor site problem. Above all, it is considered that radial forearm free flap is the first choice for palatal reconstruction. Our department introduces a novel method using tunnelized-facial artery myomucosal island flap for palatomaxillary defect reconstruction, which can successfully reduce donor-site morbidity, and duration of surgery and hospitalization.
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KEYWORD
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Surgical flap, Facial artery myomucosal island flap, Buccinator myomucosal island flap, Cheek mucosa flap, Oral reconstruction
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