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Archives of craniofacial surgery : ACFS v.19 no.2, 2018년, pp.139 - 142   KCI후보
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Multiple foreign bodies causing an orocutaneous fistula of the cheek

Kim, Woo Ju   (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine  ); Kim, Woo Seob   (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine  ); Kim, Han Koo   (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine  ); Bae, Tae Hui   (Department of Plastic and Reconstructive Surgery, Chung-Ang University Hospital, Chung-Ang University College of Medicine  );
  • 초록

    Foreign bodies impacted in the maxillofacial region are often a diagnostic challenge. They can be a source of chronic inflammatory reactions and infections leading to the formation of an orocutaneous fistula. Such orocutaneous fistulas cause significant morbidity in most patients, eventually requiring surgery. Recently, we encountered a very rare case of an orocutaneous fistula caused by multiple foreign bodies in the cheek. Precise removal of the foreign bodies was required, and a double-sided anterolateral thigh free flap was used to reconstruct the defect. Surgeons should be aware of the complications of multiple foreign bodies and should be able to diagnose these on careful clinical examination.


  • 주제어

    Orocutaneous fistula .   Foreign body .   Flap.  

  • 참고문헌 (8)

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    3. Raman R, Ariayanayagam C. Closure of orocutaneous and pharyngocutaneous fistulas. Plast Reconstr Surg 1987;79:310. 
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    5. McLean JN, Nicholas C, Duggal P, Chen A, Grist WG, Losken A, et al. Surgical management of pharyngocutaneous fistula after total laryngectomy. Ann Plast Surg 2012;68:442-5. 
    6. Sadigh PL, Wu CJ, Feng WJ, Hsieh CH, Jeng SF. New double-layer design for 1-stage repair of orocutaneous and pharyngocutaneous fistulae in patients with postoperative irradiated head and neck cancer. Head Neck 2016;38 Suppl 1:E353-9. 
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