포개어 겹친 전박유리피판술을 이용한 협부전층결손 재건 1례

Resection of the buccal mucosa carcinoma usually resulted in full thickness defect of the cheek. Full-thickness defect of the cheek present a unique challenge to the reconstructive surgeon because of the simultaneous need for lining and cover. Although various methods, including split-thickness skin graft, local flap, regional flap as well as musculocutaneous flap have been described for reconstructing massive defect of cheek, these procedures have caused considerable aesthetic problem and functional morbidity of donor site. With the advent of microvascular surgical techniques, restoration of form and function is now acceptable. In recent years, we experienced a case of full-thickness defects of the cheek after resection of buccal mucosa cancer, which was successfully reconstructed by folded free radial forearm flap. (J Clinical Otolaryngol 2000;11:156-159)