Use of Anterolateral Thigh Flap and Fibula Flap in Oncologic Maxillary Reconstruction
| العنوان: | Use of Anterolateral Thigh Flap and Fibula Flap in Oncologic Maxillary Reconstruction |
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| المؤلفون: | Tzu Yen Chang, Yao Lung Kuo, Yao Chou Lee, Szu Han Chen |
| المصدر: | Annals of Plastic Surgery. 84:S17-S25 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Maxillary reconstruction, Oncologic resection, business.industry, Fibula flap, Plastic Surgery Procedures, Anterolateral thigh, Surgical Flaps, eye diseases, Thigh, Fibula, Deformity, Humans, Medicine, Free flap reconstruction, Surgery, medicine.symptom, business, Algorithm, Algorithms, Retrospective Studies |
| الوصف: | Background Maxillary defects after oncologic resection can lead to not only cosmetic deformity but also functional problem. Reconstruction of maxillary defects remains the most challenging endeavor for plastic surgeons. An algorithm to guide plastic surgeons in selecting either the anterolateral thigh flap or the fibula flap for oncologic maxillary reconstruction has not been well established. Methods Patients who underwent oncologic maxillectomy and free flap reconstruction from August 2012 to April 2018 were enrolled for retrospective chart review. Their operative findings and postoperative outcomes were analyzed as a case series. The reconstructive plan was decided using the 4 essential components in sequence: the anterior maxillary arch, orbital floor, eyeball, and oro-sinonasal communication, which are the main considerations in the established classification systems. Accordingly, when the anterior maxillary arch was lost or when the orbital floor was lost with eyeball preservation, a fibula flap was used. Otherwise, an anterolateral thigh flap was used. Results Various maxillectomy defects were successfully reconstructed using an anterolateral thigh flap and a fibula flap. The defect types and corresponding reconstruction were fit into our proposed algorithm and classification. The corresponding outcomes were satisfactory. Conclusion The proposed algorithm by using the anterolateral thigh flap and the fibula flap for oncologic maxillary reconstruction is feasible, simple, and effective. |
| تدمد: | 1536-3708 0148-7043 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::db5fab861db3e3a2394d026883e54bb8 https://doi.org/10.1097/sap.0000000000002176 |
| رقم الأكسشن: | edsair.doi.dedup.....db5fab861db3e3a2394d026883e54bb8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15363708 01487043 |
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