전완피판의 공여부 합병증으로서 건노출에 판한 증례보고

TENDON EXPOSURE AS A FOREARM FLAP DONOR SITE COMPLICATION ; A CASE REPORT

전완피판의 공여부위를 피부이식으로 피개하였으나 건노출이 발생할 경우 국소피판으로 건노출 부위의 피개가 어려우면 피부재이식을 시행하지 않고 인내를 가지고 이차적인 상피화 방법을 선택하는 것이 치료기간의 단축과 환자의 불편감소에 큰 도움이 될 것으로 생각된다.

Forearm flap has been widely used in reconstruction of the head and neck region because of its outstanding good qualities : thin skin, a small quantity of fat tissue, long vascular stem, wide lumen of arteria radialis, and the choice of more veins for anastomosis. After flap elevation, donor site is mostly covered by skin graft. But donor site complication has been frequently reported. A rate of tendon exposure, one of the most common complication, ranges from 6.7% to 53%. Improper treatment of tendon exposure may result in severe scarring and limitation of wrist motion. We experienced a tendon exposure in a patient who diagnosed oral cancer and underwent wide excision of lesion and reconstruction by use of radial forearm flap. Our experience in the treatment of the tendon exposure is presented.