Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

유리피판의 재건 실패 환자에서 보존적 치료로 치유한 2증례

이윤세1, 최성원1, 임윤성1, 왕수건1,*
Yoon Se Lee1, Sung Won Choi1, Yune Sung Lim1, Soo-Geun Wang1,*
1부산대학교 의학전문대학원 이비인후과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery Pusan National University School of Medicine, Busan, Korea
*교신저자: 왕수건, 602-739 부산광역시 서구 아미동 1가 부산대학교 의학전문대학원 이비인후과학교실 전화 :(051) 240-7335·전송:(051) 246-8668 E-mail:wangsg@pusan.ac.kr

© Copyright 2010 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: Aug 10, 2010; Revised: Aug 25, 2010; Accepted: Sep 17, 2010

Published Online: May 31, 2020

ABSTRACT

Since the introduction of microvascular surgery, free flap reconstruction has become an integral part of the management of head and neck cancer. Although microvascular skills and instruments have improved, failure of free flap reconstruction is inevitable and frequently leads to devastating results. Most of failed cases are caused by vascular thrombosis that is usually treated by either medical therapy or salvage reconstruction. When patient cannot run the risk of additional surgery, salvage reconstruction is not feasible. Conservative treatment after failure of free flap reconstruction would be another option in carefully selected cases. Conservative care contains medical management, watchful observation for fistula formation and frequent dressing. We reports two cases of patients who were treated with conservative management after failure of free flap reconstruction and reviewed literatures. (J Clinical Otolaryngol 2010;21:283-287)

Keywords: 두경부 암종; 재건술; 유리피판; 구제수술; 보존적 치료
Keywords: Reconstructive surgical procedures; Surgical flaps; Salvage therapy; Conservation