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[Microsurgical soft tissue transplantation].

D Riediger1

  • 1Klinik für Zahn-, Mund-, Kiefer- und Plastische Gesichtschirurgie, Universitätsklinikum, RWTH Aachen, Deutschland.

Mund-, Kiefer- Und Gesichtschirurgie : MKG
|August 12, 2000
PubMed
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Microsurgical tissue transplantation has evolved significantly since 1971, offering refined techniques for reconstructing various defects. These advanced flap and transplant methods provide excellent outcomes for complex maxillofacial and oncological reconstructions.

Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Context:

  • Since 1971, microsurgical transplantation has advanced, exploring diverse tissue options like cutaneous, fasciocutaneous, musculocutaneous, jejunum, and fat grafts.
  • Maxillofacial surgery commonly employs radial forearm, scapular, and parascapular flaps for intraoral defects, tongue reconstruction, and post-maxillectomy defects.

Purpose:

  • To review the range of microsurgical tissue transplant options and their specific applications in reconstructive surgery.
  • To highlight the indications for various flaps, including latissimus dorsi and rectus abdominis flaps for deep defects, jejunum for pharyngeal reconstruction, and fat grafts for subcutaneous defects.

Summary:

  • Various microsurgical flaps and tissue grafts, including radial forearm, scapular, latissimus dorsi, rectus abdominis, jejunum, and free fat grafts, are detailed.

Related Experiment Videos

  • Indications span maxillofacial defects, oncological resections, tongue defects, deep tissue coverage, pharyngeal reconstruction, and extensive subcutaneous defects.

    • Impact:

    • Refined microsurgical techniques achieve results comparable to conventional flaps.
    • Offers versatile solutions for complex reconstructive challenges in maxillofacial and oncological surgery.