Reconstruction of Oromandibular Defect After Tumor Resection by Sternomastoid-clavicular Flap.

Autor:	Zaid AM; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)., Elzahaby IA; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)., Abdallah A; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)., Elalfy AF; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)., Metwally IH; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU)., Said Ahmed WM; Surgery Department, Faculty of Dentistry, Mansoura University, Egypt., Eldamshety O; Surgical Oncology Unit, Oncology Center Mansoura University (OCMU).
Jazyk:	angličtina
Zdroj:	The Journal of craniofacial surgery [J Craniofac Surg] 2021 Jul-Aug 01; Vol. 32 (5), pp. 1845-1849.
DOI:	10.1097/SCS.0000000000007231
Abstrakt:	Abstract: The study aims to evaluate sternocleidomastoid-clavicular osteo-myocutaneous flap (SCM-OMCF) for reconstruction of mandibular defects after tumor resection. In the period between 2010 and 2018, thirteen patients with primary mandibular tumors underwent mandibular resection and reconstruction with SCM-OMCF. Patients were followed up for 10 to 66 months. Hospital was 13 ± 4 days. All patients started fluid in the 2nd day. The mean time to start oral fluid was 7.5 ± 0.8 day. Four (30.8%) patients suffered from complications (infection and salivary leak in 1 case due to partial flap loss, donor wound dehiscence in 1 case, deep venous thrombosis in 1 case and chest infection in 1 case). None of our cases experienced motor disability. Two cases (15.9%) underwent reoperations. The overall aesthetic outcome was found excellent in 5 cases, satisfactory in 5 cases and fair in 3 cases. The functional outcomes were satisfactory. Tumor recurrences were detected in 2 (15.9%) patients. Two patients died during follow up within 2 years after 1st surgery due to local and distant recurrences. SCM-OMCF is a versatile, safe and simple technique for reconstructing mandibular defects less than 11 cm. Competing Interests: The authors report no conflicts of interest. (Copyright © 2020 by Mutaz B. Habal, MD.)
Databáze:	MEDLINE
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