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Pedicled osseous flaps

A G Lane1, C S Johnson, P D Costantino

  • 1Wilford Hall United States Air Force Medical Center, Lackland Air Force Base, Texas.

Otolaryngologic Clinics of North America
|October 1, 1994
PubMed
Summary
This summary is machine-generated.

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Pedicled osseous flaps offer a reliable reconstructive option for craniofacial skeletal defects, providing a less complex alternative to microvascular grafts with minimal donor site morbidity. These flaps are valuable for head and neck surgeons.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Plastic Surgery
  • Reconstructive Surgery

Background:

  • Vascularized autogenous bone is optimal for craniofacial skeletal defect reconstruction.
  • Two primary methods exist: microvascular bone transfers and pedicled osseous flaps.

Purpose of the Study:

  • To review the utility and application of pedicled osseous flaps in craniofacial reconstruction.
  • To highlight their advantages and place in the surgeon's armamentarium.

Main Methods:

  • Review of existing literature on pedicled osseous flaps for craniofacial reconstruction.
  • Analysis of flap characteristics, including complexity, donor site morbidity, and reliability.

Main Results:

  • Pedicled osseous flaps are technically less complex than microvascular grafts.

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  • They offer minimal donor site morbidity.
  • These flaps demonstrate acceptable reliability in selected craniofacial reconstruction cases.

    • Conclusions:

    • Pedicled osseous flaps are a valuable, albeit infrequently used, reconstructive option for craniofacial defects.
    • They should be considered by head and neck surgeons as part of their reconstructive toolkit.