Fibula free flap pedicle ossification: Experience of two centres and a review of the literature
| Autor: | Giada Anna Beltramini, C. Baserga, Alessandro Baj, D. Rossi, Olindo Massarelli, A. Bolzoni, Aldo Bruno Giannì |
|---|---|
| Přispěvatelé: | Baserga, C, Massarelli, O, Bolzoni, A, Rossi, D, Beltramini, G, Baj, A, Giannì, A |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty medicine.medical_treatment Fibula free flap Free flap Trismus Free Tissue Flaps 03 medical and health sciences 0302 clinical medicine Postoperative Complications Radiography Panoramic medicine Severe pain Humans Fibula 030223 otorhinolaryngology Reduction (orthopedic surgery) Maxillary Neoplasms Periosteum Ossification business.industry Ossification Heterotopic Middle Aged Plastic Surgery Procedures Surgery Free flap pedicle ossification medicine.anatomical_structure Systematic review Otorhinolaryngology 030220 oncology & carcinogenesis Pedicle ossification Female Oral Surgery medicine.symptom business Pedicle ossification Free flap pedicle ossification Fibula free flap Tomography X-Ray Computed |
| Zdroj: | Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery. 46(9) |
| ISSN: | 1878-4119 |
| Popis: | Purpose The osteogenic potential of vascularized periosteum has been described in a few cases in the literature, and many different factors have been pointed out as plausible. Our aim was to review the literature in order to give a complete overview of this topic and to report on our clinical experience. Patients & Methods Our experience includes three patients who underwent maxillectomy and FFF reconstruction. A progressive reduction in mouth opening was noticed in the months after surgery, and CT scans showed calcified tissue around the pedicle. Surgical revisions were performed. No recurrences were noticed. A full systematic literature review was conducted, including studies published on or before September 2016. Results Clinically, free flap pedicle ossification is presented as trismus, hard swelling, and severe pain during movements, although the diagnosis is scarce and often fortuitous. From January 2010 to January 2016 we performed 68 FFF reconstructions, and the incidence of FFF pedicle ossification in our experience was 4.4%. Conclusion Ossification of FFF pedicle is uncommon, but when it occurs, it has dramatic clinical consequences. Follow-up CT scan can be useful in diagnosis. In our experience, surgery should be performed only when the patient is symptomatic. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect