| Autor: |
Gian Battista Bottini, Veronika Hutya, David Kummer, Christopher Steiner, Katharina Zeman-Kuhnert, Jörn Wittig, Alexander Gaggl |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Advances in Oral and Maxillofacial Surgery, Vol 7, Iss , Pp 100297- (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2667-1476 |
| DOI: |
10.1016/j.adoms.2022.100297 |
| Popis: |
Objective: The purpose of this paper is to present our clinical experience with microvascular free flaps for reconstructing defects of the orbit and adjacent regions. Patients and methods: We reviewed retrospectively our oncologic patients treated from 2011 to 2019. Results: Sixteen patients were treated with 21 flaps. Later, five of these patients required ten additional “salvage” flaps to obliterate fistulas or seal the skull base. A stable healed wound was achieved in all cases, eventually. Conclusions: Based on our experience, a timely referral to a head and neck unit is critical to try and avoid the recurring tragedy of patients undergoing multiple insufficient resections and eventually dying, despite extensive surgery and radiotherapy at an advanced cancer stage. Bone free flaps are safer than bone grafts or implants when the receiving area has poor vascularity due to previous interventions or when adjuvant radiotherapy is required. In addition, the vascularised medial femur condylar flap is well suited for reconstructing small bone defects of functional or aesthetic significance. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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