| Autor: |
Depprich RA; Heinrich-Heine-University Duesseldorf, Department of Cranio- and Maxillofacial Surgery, Moorenstr 5, 40225 Duesseldorf, Germany. depprich@med.uni-duesseldorf.de, Naujoks CD, Meyer U, Kübler NR, Handschel JG |
| Jazyk: |
angličtina |
| Zdroj: |
Head & face medicine [Head Face Med] 2008 Nov 24; Vol. 4, pp. 27. Date of Electronic Publication: 2008 Nov 24. |
| DOI: |
10.1186/1746-160X-4-27 |
| Abstrakt: |
Reconstruction of the facial hard- and soft tissues is of special concern for the rehabilitation of patients especially after ablative tumor surgery has been performed. Impaired soft and hard tissue conditions as a sequelae of extensive surgical resection and/or radiotherapy may impede common reconstruction methods. Even free flaps may not be used without interposition of a vein graft as recipient vessels are not available as a consequence of radical neck dissection. We describe the reconstruction of the facial hard- and soft tissues with a free parasacpular flap in a patient who had received ablative tumor surgery and radical cervical lymphadenectomy as a treatment regimen for squamous cell carcinoma (SCC). To replace the missing cervical blood vessels an arteriovenous subclavia-shunt using a saphena magna graft was created. Microvascular free flap transfer was performed as a 2-stage procedure two weeks after the shunt operation. The microvascular reconstructive technique is described in detail. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
|
