| Autor: |
Kübler Norbert R, Meyer Ulrich, Naujoks Christian D, Depprich Rita A, Handschel Jörg G |
| Jazyk: |
angličtina |
| Rok vydání: |
2008 |
| Předmět: |
|
| Zdroj: |
Head & Face Medicine, Vol 4, Iss 1, p 27 (2008) |
| Druh dokumentu: |
article |
| ISSN: |
1746-160X |
| DOI: |
10.1186/1746-160X-4-27 |
| Popis: |
Abstract 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 methodes. 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: |
Directory of Open Access Journals |
| Externí odkaz: |
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