Chimeric vs composite flaps for mandible reconstruction
| Autor: | Amanda K. Silva, Lawrence J. Gottlieb, Laura S. Humphries, Andrés A. Maldonado |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Operative Time 030230 surgery Free Tissue Flaps Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Humans Medicine Mandibular Diseases Mandibular reconstruction Child Aged Retrospective Studies Aged 80 and over Transplantation Chimera Retrospective review business.industry Graft Survival Mandible Soft tissue Middle Aged Surgery Mandibular Neoplasms Osteoradionecrosis Otorhinolaryngology 030220 oncology & carcinogenesis Operative time Female Mandibular Reconstruction business Complication |
| Zdroj: | Head & Neck. 41:1597-1604 |
| ISSN: | 1097-0347 1043-3074 |
| DOI: | 10.1002/hed.25606 |
| Popis: | Background Composite mandibular reconstruction requires multiple tissue components inset in different planes. Intrinsic chimeric flap design provides this, and may be best suited for these reconstructions. Methods A retrospective review of mandible reconstructions with composite, intrinsic chimeric, or 2 free flaps was performed. Patient and flap characteristics and complications were analyzed. Results Seventy-five patients were reviewed. Defects reconstructed with intrinsic chimeric flaps had significantly more soft tissue needs than composite reconstructions. However, intrinsic chimeric bony defects were less complex. Despite significantly longer operative times for intrinsic chimeric flaps, there were no differences in complications or hospital stays. Intrinsic chimeric reconstruction resulted in significantly lower complication rates requiring an additional flap. This benefit was pronounced in through-and-through defects. Conclusion Intrinsic chimeric flaps are a better option than composite flaps for reconstruction of mandibular defects with large soft tissue needs with no increased complication risk despite longer operative time. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text