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Related Experiment Videos

A rib-containing free flap to reconstruct mandibular defects.

D Serafin, A Villarreal-Rios, N G Georgiade

    British Journal of Plastic Surgery
    |October 1, 1977
    PubMed
    Summary
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    A composite free flap using intercostal vessels can reconstruct mandibular defects in one stage. A prior delay procedure is recommended for optimal results in this complex reconstruction.

    Area of Science:

    • Reconstructive surgery
    • Oral and maxillofacial surgery
    • Vascularized tissue transfer

    Background:

    • Mandibular defects often involve skin, soft tissue, and bone loss.
    • Single-stage reconstruction is desirable for complex defects.
    • Intercostal vessels offer a viable source for composite free flaps.

    Observation:

    • A composite free flap utilizing intercostal vessels can address extensive mandibular defects.
    • This technique allows for simultaneous reconstruction of skin, soft tissue, and bone.
    • A delay procedure may enhance flap viability prior to transfer.

    Findings:

    • Composite free flaps based on intercostal vessels are effective for single-stage mandibular reconstruction.
    • The inclusion of skin, soft tissue, and bone in the flap addresses composite defects.

    Related Experiment Videos

  • A one-week delay procedure is a recommended adjunct to improve flap survival.

    • Implications:

    • This reconstructive approach offers a solution for challenging mandibular defects.
    • Single-stage reconstruction can potentially reduce patient morbidity.
    • The use of intercostal vessels provides a versatile option for head and neck reconstruction.