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Titolo:
RECONSTRUCTION OF MASSIVE DEFECTS IN THE HEAD AND NECK - THE ROLE OF SIMULTANEOUS DISTANT AND REGIONAL FLAPS
Autore:
BLACKWELL KE; BUCHBINDER D; BILLER HF; URKEN ML;
Indirizzi:
UNIV CALIF LOS ANGELES,SCH MED,DIV HEAD & NECK SURG,10833 LE CONTE AVE LOS ANGELES CA 90095 MT SINAI MED CTR,DIV ORAL SURG NEW YORK NY 10029 MT SINAI MED CTR,DEPT OTOLARYNGOL NEW YORK NY 10029
Titolo Testata:
Head & neck
fascicolo: 7, volume: 19, anno: 1997,
pagine: 620 - 628
SICI:
1043-3074(1997)19:7<620:ROMDIT>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCAPULAR FREE-FLAP; COMBINED LATISSIMUS-DORSI; MANDIBULAR RECONSTRUCTION; OROMANDIBULAR RECONSTRUCTION; RADIAL FOREARM;
Keywords:
HEAD AND NECK CANCER; HEAD AND NECK SURGERY; RECONSTRUCTIVE SURGERY; FREE FLAP; REGIONAL FLAP;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
K.E. Blackwell et al., "RECONSTRUCTION OF MASSIVE DEFECTS IN THE HEAD AND NECK - THE ROLE OF SIMULTANEOUS DISTANT AND REGIONAL FLAPS", Head & neck, 19(7), 1997, pp. 620-628

Abstract

Background, Massive detects resulting from exci sion of advanced headand neck tumors may not be amenable to reconstruction using a single technique of tissue transfer, Sixteen patients undergoing reconstruction using simultaneous free flaps and pedicled regional flaps are presented. Methods. Regional flaps included the pectoralis major, delto-pectoral, cervical visor, paramedian forehead, cervicofacial, and nape ofneck flaps. Microvascular tissue transfers included the radial forearm, iliac crest, parascapular/latissimus dorsi, rectus abdominis, fibula, and lateral thigh free flaps. Results. Most defects involved both aerodigestive mucosa and external cutaneous skin. Mucosal reconstruction was carried out using the soft-tissue component of the free flaps, whereas vascularized bone was used for mandibular reconstruction. Regional flaps were used to reconstruct skin of the face and neck. Conclusions. When planned and applied in a stepwise fashion, simultaneous freeflaps and regional flaps are complimentary for the reconstruction of complex wounds in the head and neck. (C) 1997 John Wiley & Sons, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 02:41:49