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梁元容,李鍾鉉,金東九,朴哲圭,許潗坪,辛鉉泰 大韓成形外科學會 1982 Archives of Plastic Surgery Vol.9 No.1
It is difficult problem that the reconstruction of bone and soft tissue defect of the mandible is obtained together. If the recipient site is scar bed and inadequately covered with soft tissue, it is more difficult problem to be solved. This problem has not been solved satisfactorily by conventional methods. Now clinical microvascular surgery has been established. And it is true that many trials have been done to solve many problems by microvascular surgery. The free skin flap transfer in man was performed successfully to repair a compound ankle injury for the first time in 1973 by Daniel and Taylor, and in 1974 the free vascularized bone graft was evolved to repair a massive defect of the tibia. Then in 1975, these two were successfully married as a composite when Buncke and co-worker did a free transfer of part of a rib with its overlying skin to repair a tibial pseudoarthrosis. The microvascular surgery has a morbidity of their own in fact, but offer some advantages also. We used groin osteocutaneous flap based on deep circumflex iliac vessels to reconstruct the mandibular defect which has been resulted from gunshot. The result is satisfactory.