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Titolo:
Reconstruction following radical maxillectomy with flaps supplied by the subscapular artery
Autore:
Uglesic, V; Virag, M; Varga, S; Knezevic, P; Milenovic, A;
Indirizzi:
Univ Hosp Dubrava, Dept Maxillofacial Surg, Zagreb, Croatia Univ Hosp Dubrava Zagreb Croatia pt Maxillofacial Surg, Zagreb, Croatia
Titolo Testata:
JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY
fascicolo: 3, volume: 28, anno: 2000,
pagine: 153 - 160
SICI:
1010-5182(200006)28:3<153:RFRMWF>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
SCAPULAR FREE FLAP; OSSEOINTEGRATED IMPLANTS; MAXILLARY RECONSTRUCTION; MAXILLOFACIAL DEFECTS; MUSCLE; REPAIR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
Recensione:
Indirizzi per estratti:
Indirizzo: Uglesic, V KB Dubrava, Dept Maxillofacial Surg, Avenija Gojka Suska 6, Zagreb 10040, Croatia KB Dubrava Avenija Gojka Suska 6 Zagreb Croatia 10040 Croatia
Citazione:
V. Uglesic et al., "Reconstruction following radical maxillectomy with flaps supplied by the subscapular artery", J CRAN MAX, 28(3), 2000, pp. 153-160

Abstract

The authors present their experience of 27 cases with repairs of defects following radical maxillectomies with free flaps. A total of 28 flaps were used (five latissimus dorsi, six scapula, 16 combination flaps of scapula and latissimus dorsi and one combination of scapula, latissimus dorsi and serratus anterior flap). Only one scapula flap was completely lost and in three cases where a combination of scapula and latissimus dorsi flap was used, partial necrosis of one component occurred. The authors first choice for reconstruction is a scapula bone flap raised on the angular artery combined with the latissimus dorsi flap. The combination of flaps with a long pedicleand of the bony and muscular components provides the surgeon with the option of customizing the flap to meet individual patient needs. For intraoral closure the authors prefer the latissimus dorsi muscle which rarely requires secondary procedures for prosthesis placement following epithelializationand atrophy. The main disadvantage of the flap is the difficulty of two teams working simultaneously, thus increasing the average operating time. Allpostoperative corrections and prosthetic rehabilitation should be postponed for at least 2 months following surgery because of postoperative swelling, (C) 2000 European Association for Cranio-Maxillofacial Surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 04:31:05