Versatility in Mandibular Reconstruction after Ablative Tumor Surgery, Single Center Experience
<p>Mandibular reconstruction using vascularized osteocutaneous flaps is necessary to improve functional outcomes, such as jaw movement and mastication, and aesthetics after the wide resection of the mandible [1]. Bone grafts had been widely used for reconstruction, with the advent of microsurg...
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Main Authors: | , , , , , , , , |
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Format: | Book |
Published: |
Archives of Otolaryngology and Rhinology - Peertechz Publications,
2016-06-28.
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Online Access: | Connect to this object online. |
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Summary: | <p>Mandibular reconstruction using vascularized osteocutaneous flaps is necessary to improve functional outcomes, such as jaw movement and mastication, and aesthetics after the wide resection of the mandible [1]. Bone grafts had been widely used for reconstruction, with the advent of microsurg ry, such as rib [2], metatarsal [3], radial [4], scapular [5], iliac [6], and fibular [7,8]. Using the fibula for re on truction of mandibular defects through microvascular technique was first described by Hidalgo in 1989 [9]. This microvascular flap depends on peroneal artery and the accompanying veins. This flap is characterized by rich vascularity with a long and wide pedicle as the vascular nourishment to this bone comes through both segmental and intraosseous ways, so, it can withstand multiple osteotomies without fear from any ischemic complications [10]. This makes reconstruction of large defects after radical tumor resection more easy.</p> |
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DOI: | 10.17352/2455-1759.000019 |