이개 주변 악성종양의 광범위절제술 후 이개의 보존 2례
Two Cases of Auricular Salvage after Wide Excision of Malignant Tumor at Periauricular Area
김결희, 정철훈, 장용준, 이종욱, 노영수, 김창우,
소속 상세정보
김결희 ( Kim Kyul-Hee )
한림대학교 의과대학 성형외과학교실
정철훈 ( Chung Chul-Hoon )
한림대학교 의과대학 성형외과학교실
장용준 ( Chang Yong-Joon )
한림대학교 의과대학 성형외과학교실
이종욱 ( Lee Jong-Wook )
한림대학교 의과대학 성형외과학교실
노영수 ( Rho Young-Soo )
한림대학교 의과대학 이비인후-두경부외과학교실
김창우 ( Kim Chang-Woo )
한림대학교 의과대학 이비인후-두경부외과학교실
KMID : 0356820090250010039
Abstract
Wide excision for curative treatment of malignant tumor on periauricular area often leads to loss of the external ear. But the auricle has rich vascular supply, Conservation of auricular contour is possible through salvage and engineering of remained auricular tissue. We experienced two cases of auricular salvage after wide excision of malignant tumor. In the first case, we performed two-staged technique. In first step, we covered soft tissue defect on periauricualr area with the anterolateral thigh free flap and remained auricle was floating over the flap after split-thickness skin graft was applied on it’s posterior raw surface because it’s survival was not confirmed. Second step was reposition of remained auricule on the anterolateral thigh flap. In the second case, we packed in periauricular dead space and external auditory canal with temoporalis muscle and temporoparietal fascial flap and then covered the flap with split thickness skin graft. In these two cases, there were no recurrence of tumors and we obtained cosmetically & functionally satisfactory results.
키워드
이개; 보존; 악성종양
Auricle; Salvage; Malignant tumor; Periauricular area
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