Flow-through sequentially linked free flaps in head and neck reconstruction

被引：7

作者：

Horacio Costa

Horacio Zenha

Luis Azevedo

Leonor Rios

Maria da Luz Barroso

Cristina Cunha

机构：

[1] Plastic, Reconstructive and Craniomaxillofacial Surgery Unit, Centro Hospitalar Vila Nova Gaia, Vila Nova de Gaia

来源：

European Journal of Plastic Surgery | 2012年 / 35卷 / 1期

关键词：

Flow-through concept; Head and neck; Oromandibular defects;

D O I：

10.1007/s00238-011-0575-0

中图分类号：

学科分类号：

摘要：

Reconstructing extensive composite oromandibular defects is a difficult challenge. Many donor sites have been used including rib, second metatarsal, radius, scapula, iliac crest and fibula. Each of these flaps has advantages and disadvantages with regard to the donor defect, length of bone available, bone stock and reliability of the associated soft tissue. Additionally, a significant limitation in some patients is that the bone cannot be repositioned three-dimensionally with respect to the overlying skin island. The complex three-dimensional nature of composite resections may challenge the ability of any single osteocutaneous flap to adequately reconstruct all aspects of the resultant defect. To overcome this problem, the authors present a retrospective analysis of their experience with the flow-through sequentially linked free flaps concept for reconstruction of complex defects of head and neck in nine selected cases. © Springer-Verlag 2011.

引用

页码：31 / 41

页数：10

共 26 条

[1]

Boyd J.B., Gullane P.J., Rotstein L.E., Brown D.H., Irish J.C., Classification of mandibular defects, Plastic and Reconstructive Surgery, 92, 7, pp. 1266-1275, (1993)

[2]

Blackwell K.E., Buchbinder D., Biller H.F., Urken M.L., Reconstruction of massive defects in the head and neck: The role of simultaneous distant and regional flaps, Head and Neck, 19, 7, pp. 620-628, (1997)

[3]

Wei F.-C., Demirkan F., Chen H.-C., Chen I.-H., Double free flaps in reconstruction of extensive composite mandibular defects in head and neck cancer, Plastic and Reconstructive Surgery, 103, 1, pp. 39-47, (1999)

[4]

Wei F.C., Celik N., Chen H.C., Et al., Combined anterolateral thigh flap and vascularized fibula osteoseptocutaneous flap in reconstruction of extensive composite mandibular defects, Plast Reconstr Surg, 109, pp. 45-47, (2002)

[5]

Wei F.C., Yazar S., Lin C.H., Cheng M.H., Tsao C.K., Chiang Y.C., Double free flaps in head and neck reconstruction, Clinics in Plastic Surgery - Microsurgical Reconstruction of the Head and Neck, 32, 3, pp. 303-308, (2005)

[6]

Costa H., Guimaraes I., Cardoso A., Malta A., Amarante J., Guimaraes F., One-staged coverage and revascularisation of traumatised limbs by a flow-through radial mid-forearm free flap, Br J Plast Surg, 44, pp. 533-537, (1991)

[7]

Costa H., Cunha C., Conde A., Barsdley A., McGrouther D.A., The flow-through free flap in replantation surgery: A new concept, European Journal of Plastic Surgery, 20, 4, pp. 181-185, (1997)

[8]

Sanger J.R., Matloub H.S., Yousif N.J., Sequential connection of flaps: A logical approach to customized mandibular reconstruction, American Journal of Surgery, 160, 4, pp. 402-404, (1990)

[9]

Urken M.L., Weinberg H., Vickery C., Et al., The combined sensate radial forearm and iliac crest free flaps for reconstruction of significant glossectomy-mandibulectomy defects, Laryngoscope, 102, pp. 543-558, (1992)

[10]

Wells M.D., Luce E.A., Edwards A.L., Vasconez H.C., Sadove R.C., Bouzaglou S., Sequentially linked free flaps in head and neck reconstruction, Head and Neck Reconstruction. Clinics in Plastic Surgery, 21, 1, pp. 59-67, (1994)

← 1 2 3 →