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Reconstruction of Defects After Excision of Facial Skin Cancer Using a Venous Free Flap

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Author(s)
최재훈최태현조호찬김상현
Alternative Author(s)
Choi, Jae HoonChoi, Tae HyunCho, Ho ChanKim, Sang Hyon
Publication Year
2011
Abstract
After extensive excision of skin cancer on the face, or when skin
cancer is located on the 3-dimensional structures of the face, reconstruction
with a local flap can be impossible, or clinicians are reluctant to reconstruct
defects with a skin graft because of postoperative contraction, hyperpigmentation,
or other complication. Instead, an arterialized venous free flap can be
used as an alternative method of reconstruction to prevent distortion and
recurrence. Eight patients underwent surgery with an arterialized venous-free
flap. We evaluated the cosmetic results using ordinary scale methods on the
basis of 4 categories (color, contour, texture, and distortion of surrounding
structures) and recurrence and metastases of skin cancer physically. The
follow-up period ranged between 24 and 48 months, with an average of 33
months. All of the soft-tissue defects made by excising the tumor were
reconstructed with good outcomes, except for 1 case. Regarding the cosmetic
evaluation, the color was fair, the contour and texture were good, absence of
distortion of surrounding structures was excellent, and the overall results in
most all cases were good. There were no recurrences or metastases during the
follow-up period. The arterialized venous free flap is an alternative plan
among several reconstruction methods when skin cancer on the face is
extensively excised.
Key Words: facial reconstruction, venous-free flap
Department
Dept. of Plastic Surgery (성형외과학)
Dept. of Internal Medicine (내과학)
Publisher
School of Medicine
Citation
Annals of Plastic Surgery, Vol.67(6) : 608-611, 2011
Type
Article
ISSN
0148-7043
DOI
10.1097/SAP.0b013e318209a77f
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35024
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