원저

유리피판을 이용한 두경부 재건술

심현석1, 박정제1, 안성기1, 전시영1, 김준식2, 김진평1,3,*
Hyun Seok Shim1, Jung Je Park1, Seong Ki Ahn1, Sea Yuong Jeon1, Jun Sik Kim2, Jin Pyeong Kim1,3,*
Author Information & Copyright
1경상대학교 의과대학 경상대학교병원 이비인후과학교실
2성형외과학교실
3건강과학연구원
1Department of Otolaryngology, College of Medicine, Gyeongsang National University, Jinju, Korea
2Plastic Surgery, College of Medicine, Gyeongsang National University, Jinju, Korea
3Gyeongsang Institute of Health Science, College of Medicine, Gyeongsang National University, Jinju, Korea
*교신저자: 김진평, 660-702 경남 진주시 칠암동 90번지 경상대학교 의과대학 경상대학교병원 이비인후과학교실 전화: (055) 750-8178·전송: (055) 759-0613 E-mail: jinpyeong@gshp.gsnu.ac.kr

© Copyright 2006 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 20, 2006; Accepted: Oct 26, 2006

Published Online: May 31, 2020

ABSTRACT

Background and Objective: A significant revolution in head and neck reconstruction occurred with advent of free flap transfer. The objective of this study was to review our experience during 14 years in performing 36 free flap for head and neck region. Materials and Methods: A retrospectively hospital chart review of in 35 free flap cases between February 1993 and July 2006 was done. Patient’s sex, age, T stage, type of free flap, flap success rate, post operative complications were evaluated. Results: 34 (94%) of 36 free flap were success. 2 cases partial tissue necrosis happened due to venous congestion, so local free flap was done. Post operative complications were happened 7 cases. 4 cases were seen fistulas, 1 case was seen wound dehiscence, 1 case was seen infection, 1 case was seen hematoma. Conclusion: In review of our experience, free flap reconstruction in head and neck defect has useful procedure in high success outcomes and cosmetics aspect. (J Clinical Otolaryngol 2006;17:223–227)

Keywords: 유리피판술; 두경부 재건술
Keywords: Free flap; Head and neck reconstruction


37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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