원저

구강암에 대해 전완부 유리피판술과 전외측대퇴부 유리피판술을 이용한 치료의 결과

김주형1,*, 남수봉1, 배용찬1, 최수종1, 이재우1, 이진춘2, 이병주2, 왕수건2
Joo Hyoung Kim1,*, Subong Nam1, Yongchan Bae1, Soojong Choi1, Jaewoo Lee1, Jin-Choon Lee2, Byung-Joo Lee2, Soo-Geun Wang2
Author Information & Copyright
1부산대학교 의학전문대학원 성형외과학교실
2이비인후과학교실
1Department of Plastic and Reconstructive Surgery, Pusan National University, Busan, Korea
2Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Pusan National University, Busan, Korea
*교신저자: 남수봉, 602-739 부산광역시 서구 구덕로 179 부산대학교 의학전문대학원 성형외과 학교실 전화: (051) 240-7273·전송: (051) 243-9405 E-mail: subong71@pusan.ac.kr

© Copyright 2013 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 24, 2013; Revised: Oct 16, 2013; Accepted: Nov 15, 2013

Published Online: May 31, 2020

ABSTRACT

Backgrounds: To compare post-operative result following reconstruction of soft tissue defect after wide excision of oral cancer by radial forearm free flaps and anterolateral thigh free flaps. Methods: 48 patients were included in this retrospective study by chart review. The patients were divided into two groups. Each group underwent radial forearm free flap (Group 1) and anterolateral thigh free flap (Group 2) after wide excision of oral cancer. Flap size, operation time, post-operative complication was compared between the two groups. Results: Flap size of anterolateral thigh flap was significantly bigger than that of radial forearm free flap. Operation time of anterolateral thigh flap was significantly shorter than that of radial forearm free flap. Conclusions: We conclude that anterolateral free flap was superior to radial forearm free flap in terms of operation time and complication rate in reconstruction for oral cancer. (J Clinical Otolaryngol 2013;24:219–224)

Keywords: 구강내암; 전완부 유리피판; 전외측대퇴부 유리피판
Keywords: Oral cancer; Radial forearm free flap; Anterolateral thigh free flap


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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