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정중곁 전두부피판과 자가 늑연골 및 역 하비갑개 회전 피판을 이용한 비배부 악성종양 결손 재건

A Case of Structural Nasal Reconstruction with Para-Median Forehead Flap, Autologous Costal Cartilage, and Reverse Inferior Turbinate Rotational Flap after Wide Excision of Skin Cancer of Nasal Dorsum

임상이비인후과 2019년 30권 2호 p.247 ~ 252
신동민 ( Shin Dong-Min ) - 성균관대학교 의과대학 삼성창원병원 이비인후과학교실

최규성 ( Choi Kyu-Sung ) - 성균관대학교 의과대학 삼성창원병원 이비인후과학교실
안평안 ( Ahn Pyung-Ahn ) - 성균관대학교 의과대학 삼성창원병원 이비인후과학교실
정용기 ( Jung Yong-Gi ) - 성균관대학교 의과대학 삼성창원병원 이비인후과학교실

Abstract


Skin cancer is most likely to develop in the area exposed to sunlight, and the nasal dorsum is the most common site of skin cancer. Considering the treatment of nasal skin cancer, reconstruction after wide excision is the most problematic due to complexity of structure and insufficient tissue to use. After wide excision including skin soft tissue envelop, cartilaginous framework, and inner lining mucosa, structural reconstruction is required to restore nasal function and normal looking appearance of nose. We report treatment result of a 64-year old pa- tient diagnosed with squamous cell carcinoma at nasal dorsum. After wide excision of the lesion, para-median forehead rotational flap was used for reconstruction of soft tissue envelope of nasal dorsum and autologous cos- tal cartilage was used for cartilaginous framework. For the reconstruction of inner mucosal lining, reverse infe- rior turbinate flap was used. The patient was followed up for 16 months, and there was no recurrence of the pri- mary lesion. The site of reconstruction was well maintained its original shape without retraction and contracture.

키워드

비재건술; 늑연골; 전두부피판; 피부편평세포암; 하비갑개피판
Reconstruction; Costal cartilage; Squamous cell cancer; Turbinate; Nose flapd
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