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Titolo:
REVASCULARIZED COMPOSITE GRAFTS WITH INSERTED IMPLANTS FOR RECONSTRUCTING THE MAXILLA - IMPROVED FLAP DESIGN AND FLAP PREFABRICATION
Autore:
VINZENZ KG; HOLLE J; WURINGER E; KULENKAMPFF KJ; PLENK H;
Indirizzi:
EVANGEL KRANKENHAUS WIEN WAHRING,DEPT MAXILLOFACIAL SURG,HANS SACHS GASSE 10-12 A-1180 VIENNA AUSTRIA UNIV VIENNA,DEPT BONE & BIOMAT RES,INST HISTOL EMBRYOL A-1090 VIENNA AUSTRIA UNIV VIENNA,DEPT MAXILLOFACIAL SURG A-1090 VIENNA AUSTRIA UNIV VIENNA,DEPT PLAST & RECONSTRUCT SURG A-1090 VIENNA AUSTRIA UNIV VIENNA,INST ORAL & MAXILLOFACIAL SURG A-1090 VIENNA AUSTRIA
Titolo Testata:
British journal of oral & maxillofacial surgery
fascicolo: 5, volume: 36, anno: 1998,
pagine: 346 - 352
SICI:
0266-4356(1998)36:5<346:RCGWII>2.0.ZU;2-K
Fonte:
ISI
Lingua:
ENG
Soggetto:
FREE SCAPULAR FLAP; MAXILLOFACIAL DEFECTS; ILIAC CREST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
27
Recensione:
Indirizzi per estratti:
Citazione:
K.G. Vinzenz et al., "REVASCULARIZED COMPOSITE GRAFTS WITH INSERTED IMPLANTS FOR RECONSTRUCTING THE MAXILLA - IMPROVED FLAP DESIGN AND FLAP PREFABRICATION", British journal of oral & maxillofacial surgery, 36(5), 1998, pp. 346-352

Abstract

We present a new technique including prefabrication of a revascularized composite scapular flap that will fit a maxillary defect exactly. The method is based on careful preoperative planning using three-dimensional reconstructions of data obtained from computed tomograms and stereolithographic models. A pedicled scapular flap with a split skin graft envelope that has endosteal implants already inserted is prepared and covered by a polytetrafluoroethylene (PTFE, Goretex(R)) membrane. After 3-4 months these prefabricated grafts are harvested, inserted into the maxillary defects, and reanastomosed to the facial vessels. Two to three weeks later, after mucosal healing, a prosthesis can be fitted on the endosteal implants. Histological evaluation of the flap showsvital bone reactions and attachment of the split skin graft.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:50:05