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Composite resection reconstruction: split-thickness skin graft--a preferred option.
L A Zieske1, J T Johnson, E N Myers
1Department of Otolaryngology-Head and Neck Surgery, Tripler Army Medical Center, HI 96859-5000.
Summary
Split-thickness skin grafts offer excellent oral cavity reconstruction after composite resection, prioritizing function and minimizing complications. This method is preferred for defects not requiring significant tissue bulk.
Area of Science:
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Reconstruction of the oral cavity after composite resection presents multiple options.
- Key considerations include maximizing function while minimizing complications, physiological sequelae, and cost.
Purpose of the Study:
- To analyze the outcomes of split-thickness skin grafts in oral cavity reconstruction following composite resections.
- To identify significant functional determinants and evaluate the efficacy of this reconstructive method.
Main Methods:
- Analysis of 50 consecutive patients undergoing composite resections reconstructed with split-thickness skin grafts.
- Examination of factors including blood transfusion, disease stage, hospital stay, complications, prosthetic device use, and patient diet.
Main Results:
- The extent of tissue resection was the primary determinant of function, followed by residual tissue mobility.
- Split-thickness skin grafts yielded excellent results for evaluated parameters.
Conclusions:
- Split-thickness skin grafts are a preferred method for reconstructing composite resection defects, particularly when tissue bulk is not required.
- This technique is suitable for anterior mandible defects, anticipated mandible reconstruction, and near-total glossectomy.