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SHR Neuro Krebs Kardio Lipid

Kärcher, H; Feichtinger, M.
Transformation of a vascularised iliac crest or scapula bone to a pedicled osteomuscular transplant for reconstruction of distant defects in the head and neck region: a new method of transforming two island flaps to one longer island flap.
J Craniomaxillofac Surg. 2014; 42(8):2056-2063 (- Case Report)
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Autor/innen der Med Uni Graz:
Feichtinger Matthias
Kärcher Hans
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Abstract:
Bone defects in the maxillofacial region after ablative surgery require reconstructive surgery, usually using microvascular free flaps. This paper presents a new method of reconstructing extensive defects in patients not suitable for microvascular surgery using prefabrication of a vascularised osteomuscular flap from the scapula or iliac crest bone. Three patients who were treated with this new technique are presented. Two patients (one mandibular defect and one defect in the maxillary region) received prefabricated osteomuscular flaps from the iliac crest bone using the latissimus dorsi muscle as a pedicle. One patient also presenting a mandibular defect after tumour surgery received a scapula transplant for reconstruction of the defect using the pectoralis major muscle as pedicle. In all three cases vital bone could be transplanted. The pedicle was strainless in all three cases. Minor bone loss could be seen initially only in one case. The results are stable now and one patient received dental implants for later prosthetic treatment. The presented two-step surgery provides an excellent method for reconstruction of bony defects in the maxillofacial region in patients where microvascular surgery is not possible due to reduced state of health or lack of recipient vessels. Copyright © 2010. Published by Elsevier Ltd.
Find related publications in this database (using NLM MeSH Indexing)
Autografts - transplantation
Bone Transplantation - methods
Carcinoma - surgery
Carcinoma, Squamous Cell - surgery
Dental Implantation, Endosseous - methods
Follow-Up Studies -
Graft Survival -
Humans -
Ilium - surgery
Male -
Mandibular Neoplasms - surgery
Maxillary Neoplasms - surgery
Middle Aged -
Muscle, Skeletal - blood supply
Muscle, Skeletal - transplantation
Operative Time -
Pectoralis Muscles - surgery
Reconstructive Surgical Procedures - methods
Scapula - surgery
Skin Transplantation - methods
Surgical Flaps - blood supply
Surgical Flaps - transplantation
Transplant Donor Site - surgery

Find related publications in this database (Keywords)
Island flap
Bone defect
Prefabrication
Osteomuscular vascularised transplant
Reconstructive surgery
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