Microvascular Reconstruction Evidence-Based Procedures

被引:11
作者
Cannady, Steven B. [1 ]
Lamarre, Eric [2 ]
Wax, Mark K. [3 ]
机构
[1] Univ Penn, Dept Otolaryngol HNS, Philadelphia, PA 19104 USA
[2] Cleveland Clin Fdn, Dept Otolaryngol HNS, Cleveland, OH 44195 USA
[3] Oregon Hlth & Sci Univ, Dept Otolaryngol HNS, Portland, OR 97239 USA
关键词
Free flap; Reconstruction; Functional outcome; Monitoring; Mandible; FREE-FLAP RECONSTRUCTION; TRANSORAL ROBOTIC SURGERY; FREE-TISSUE TRANSFER; QUALITY-OF-LIFE; IMPLANTABLE DOPPLER PROBE; SWALLOW QUESTIONNAIRE SSQ; FOREARM FREE-FLAP; OROPHARYNGEAL CANCER; OROMANDIBULAR RECONSTRUCTION; MANDIBULAR RECONSTRUCTION;
D O I
10.1016/j.fsc.2015.04.007
中图分类号
R61 [外科手术学];
学科分类号
摘要
Microvascular free tissue transfer is the best modality of replacing composite tissue defects with composite vascularized tissue. Wound healing, functional reconstruction, rehabilitation, and cosmesis are best accomplished when the tissue defect is replaced by free tissue. The reconstructive tissue can be tailored to the defect and is harvested from outside the often radiated pretreated reconstructive field. Evidence to support the use of free tissue transfer in head and neck defects is not of the highest level. This article reviews the postoperative monitoring of free tissue transfer, lateral mandibular reconstruction (fibula vs radial forearm), and functional outcomes with free tissue transfers.
引用
收藏
页码:347 / +
页数:11
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