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Titolo:
The use of vascularized cranial bone in reconstruction of the maxilla and mandible
Autore:
Tellioglu, AT; Ulusoy, G; Celebioglu, S; Kocer, U; Sensoz, O;
Indirizzi:
Ankara Numune Hosp, Ankara Oncol Hosp, Dept Plast & Reconstruct Surg, Ankara, Turkey Ankara Numune Hosp Ankara Turkey ast & Reconstruct Surg, Ankara, Turkey
Titolo Testata:
EUROPEAN JOURNAL OF PLASTIC SURGERY
fascicolo: 5-6, volume: 22, anno: 1999,
pagine: 244 - 250
SICI:
0930-343X(199906/08)22:5-6<244:TUOVCB>2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPOSITE CALVARIAL FLAPS; OSTEOMYOCUTANEOUS FLAP; CRANIOFACIAL SURGERY; NECK RECONSTRUCTION; COMPLEX DEFECTS; FOLLOW-UP; GRAFTS; HEAD; COMPLICATIONS; REGION;
Keywords:
mandible reconstruction; maxilla reconstruction; vascularized calvarial bone graft;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Tellioglu, AT Kenedi Cad 61-8, TC-06660 Ankara, Turkey Kenedi Cad 61-8 Ankara Turkey TC-06660 6660 Ankara, Turkey
Citazione:
A.T. Tellioglu et al., "The use of vascularized cranial bone in reconstruction of the maxilla and mandible", EUR J PLAST, 22(5-6), 1999, pp. 244-250

Abstract

Defects of the maxilla and mandible can cause significant functional and aesthetic problems for patients. Vascularized calvarium was used to reconstruct six mandible and four maxillary defects between 1991 and 1998. The agesof patients ranged from 15 to 68 years. Full thickness calvarial bone was preferred for the repair of segmental mandibular defects but split thickness calvarial bone onlay was used to reconstruct contour deformities. When full thickness calvarial bone was used, the donor site defect was covered with split thickness cranial bone. In small defects, a bipedicled galea pericranial flap was used for reconstruction. The bone was supplied by the superficial temporal vessels in all cases. A tunnel in the subcutaneous plane wasused for the flap transfer to avoid facial nerve branches. Immediate expansion was performed during the preparation of the tunnel to prevent pedicle compression. Bone vascularization was checked with bone scan and serial X-rays and clinical examinations were also performed in the postoperative period. Flap necrosis was observed in one case, satisfactory functional and aesthetic results were achieved in all other patients. Vascularized cranial bone has not only the same structural features as facial bones but also a reliable vascular supply. The superficial temporal fascia and hairy skin may be included in the cranial bone flap to treat complex defects. The donor site scar is well hidden in the scalp. There is minimal donor site discomfort. In conclusion, vascularized cranial bone is a good method of treatment in selected cases.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 11:55:31