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INDICATION AND IMPORTANCE OF RECONSTRUCTIVE SURGERIES OF FACIAL SKELETON IN MAXILLOFACIAL SURGERY: REVIEW
Acta Chirurgiae Plasticae
|September 11, 2020
Summary
Malignant head and neck tumors require complex, long-term treatment. Successful surgical therapy for these orofacial tumors depends on tumor removal, lymph node treatment, and appropriate reconstruction, prioritizing patient selection and multidisciplinary care.
Area of Science:
- Oncology
- Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Malignant head and neck tumors are common and increasing.
- Orofacial tumors represent approximately 2% of all malignancies in the Czech Republic.
- Treatment planning must consider patient age, disease stage, and metastasis presence.
Purpose of the Study:
- To outline the complex treatment strategies for malignant head and neck tumors.
- To emphasize the importance of surgical prerequisites and patient selection.
- To discuss various reconstructive techniques in maxillofacial oncosurgery.
Main Methods:
- Surgical tumor removal with adequate safety margins.
- Treatment of the lymphatic system based on tumor type.
- Application of reconstructive procedures including free flap, pedicled flap, and prosthetic replacements.
Main Results:
- Successful surgical therapy hinges on complete tumor excision and appropriate lymphatic management.
- Patient selection is crucial to minimize local and systemic postoperative complications.
- Free flap techniques are the current gold standard, but pedicled flaps and traditional prosthetics remain valuable options.
Conclusions:
- Effective management of head and neck cancers necessitates a multidisciplinary approach and skilled surgical teams.
- A range of reconstructive options, from advanced free flaps to conventional prosthetics, should be considered for optimal patient outcomes.
- Careful patient selection and tailored reconstructive strategies are key to successful maxillofacial oncosurgery.
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