Reconstruction of premaxilla with fibula free flap

被引:17
作者
Torroni, Andrea
Gennaro, Paolo
Nicolai, Gianluca
Lore, Bruno
Valentini, Valentino
Iannetti, Giorgio
机构
[1] Univ Roma La Sapienza, Dept Maxillofacial Surg, Rome, Italy
[2] Univ Roma Tor Vergata, Dept Maxillofacial Surg, Rome, Italy
关键词
premaxilla; microvascular reconstructions; fibula free flap;
D O I
10.1097/01.scs.0000248650.84792.66
中图分类号
R61 [外科手术学];
学科分类号
摘要
The reconstruction of the maxilla after surgical excision of malignant neoplasms has always presented significant difficulties. The excision of the premaxillary region involves considerable aesthetic and functional problems and, thus, presents particular reconstructive difficulties. The difficulties in the reconstruction of this area are related to the advanced anterior position and to the structural complexity of the premaxilla. In addition, soft tissue reconstructions, which might be used potentially to create an oral-nasal diaphragm, are often functionally and aesthetically unsatisfactory. Microvascular options have dramatically improved the reconstructive possibilities. Among free flaps, the fibula, scapula, and iliac crest are most used in the reconstruction of the upper jaw because of their advantageous compositional characteristics and plasticity. In our experience, however, the fibula free flap has emerged as the best reconstructive option for the premaxillary region because of the length of the pedicle, the flexibility and good quality of the bone, the reduced bulk of the soft tissue, and the low potential for problems at the donor site.
引用
收藏
页码:1385 / 1394
页数:10
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