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이상헌,나동균,이훈범 大韓成形外科學會 1991 Archives of Plastic Surgery Vol.18 No.6
Yang Guofan(1978) and others were the first to report the fasciocutaneous forearm flap based on the radial and ulnar arteries. The combination of bone and nerve or the flap elevated as an island or free flap greatly increased its versatility and thus was used extensively in reconstructions of the head and neck, upper and iower extremity and penis. We used the forearm flap in upper(2 cases) and lower (5 cases) extremity reconstructions and obtained satisfactory results. In four cases, a saphenous vein graft was used to correct defects of the radial artery, and in two cases a reverse radial forearm flap and reverse ulnar forearm flap were used.
이훈범,김석원,정윤규,박윤규 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5
Since the first report by Tansini in 1896, the latissimus dorsi muscle free flap has been widely used for various types of soft tissue defect due to reliable anatomy with a sufficient diameter of neurovascular pedicle and a sizable muscle. However, for relatively small soft tissue defect, latissimus dorsi free flap offers several distinct disadvantages of donor site including loss of the posterior axillary fold and flattening of the posterolateral chest wall, weakness of upper arm strength in extension, adduction and internal rotation. We treated three patients having various types of soft tissue defect using segmental latissimus dorsi muscular free flap depending on its descending branch of thoracodorsal neurovascular pedicles. There were no serious complications during 18 months of mean follow-up. We concluded that this method has some advantages such as no weakness of strength of the upper arm including walking on crutches, preserving the posterior axillary fold, preventing winging of the scapula and increased chance of using a flow-through technique. Here we present our cases of reconstruction of soft tissue defect using segmental latissimus dorsi free flap with a review of the literature.
이훈범,탁관철,이영호 大韓成形外科學會 1990 Archives of Plastic Surgery Vol.17 No.6
Since man ambulates in the erect posture, the heel of the foot is continually and repeatedly exposed to pressure and friction motion. A variety of surgical methods such as the lateral clacaneal aerery skin flap, midplanter fasciocuta-neous island flap cross leg flap and other forms of iskand flaps have been introduced in the past for purpose of heel reconstruction.Recently, with the development and wide application of microsurgery, several types of free flaps have also been reported for reconstruction of heel defects. Flap selection is a mutifarious process, involving consideration of such variables as the size and shape of the defect, donor area morbidity, simplicity of the procedure, as well as cosmetic and functional recovery. But ideally, the flap shoud be sensate in addition to having sufficient thickness and bulk. We the authers treated 3 cases of a variety of heel injuries(one with soft tissue defect of the heel, another with a calcaneal defect, and the 3rd case had calcaneal osteomyelitis with a draining sinus) by using the parascapular fasciocutaneous free flap. We recent the surgical methods used and review the advantages and disadvant-ages of the parascapular fasciocutaneous free flap. In addition, possible applications of the sensory parascapular fasciocutaneous free flap are considered,