이하선종양 적출술후 흉쇄유돌근을 이용한 함몰기형교정의 임상적 고찰

• 영문명: Reconstruction of Soft Tissue Deficit After Parotidectomy by Sternocleidomastoid Muscle Flap
• 발행기관: 대한두경부종양학회
• 저자명: 최희윤(Hee Yoon Choi) 정효경(Hyo Gyeong Chung) 이영만(Young Mann Lee) 류재만(Jai Mann Lee)
• 간행물 정보: 『대한두경부종양학회지』제3권 제1호, 37~54쪽, 전체 18쪽
• 주제분류: 의약학 > 종양학
• 파일형태: PDF
• 발행일자: 1987.09.30

영문 초록

The aim of surgery for all parotid masses is directed toward total removal of the tumor with adequate safe margins of adjacent normal tissue and preservation of the facial nerve whenever possible. Reconstructive procedures following parotidectomy for benign or low grade malignant lesions are most commonly necessary if soft tissue deficits appear at the angle of the mandible below the earlobe as a major cosmetic deformity. This is a report of 24 cases with a diagnosis of parotid tumor who were treated using various surgical procedures at Department of Plastic and Reconstructive Surgery, Hanyang University Hospital over the period of 4 years from January, 1983 to December,1986. Among 24 cases, 11 cases were reconstructed by Sternocleidomastoid muscle flap at the same time that extirpative surgery is outlined. The advantage of Stemocleidomastoid muscle flap is the coverage of the facial nerve, so adhesion between the facial nerve and skin was prevented. Absorption and loss of bulk was not found such as dermofat graft. It was a simple method. Neither donor site defect nor sternocleido-mastoid muscle deformity was developed. Sternocleido-mastoid muscle flap have been found satisfactory in maintaining filled-out soft tissue hollows with good result cosmetically and functionally.

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