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[Indications for 76 free surgical flaps for mandibular reconstruction]
E Fischer-Brandies1, E Dielert, W Stock
1Klinik und Poliklinik für Kieferchirurgie, München.
Fortschritte Der Kiefer- Und Gesichts-Chirurgie
|January 1, 1994
Summary
Revascularized bone and skin flaps show a high success rate (94.7%) in reconstruction, even after radiation therapy. These flaps are valuable for complex cases, demonstrating proven indications.
Area of Science:
- Microsurgery
- Reconstructive Surgery
- Tissue Transplantation
Context:
- Since 1985, 76 revascularized osseous and osseocutaneous flaps have been transferred from various donor sites.
- A significant portion of patients (48.7%) had prior radiotherapy, indicating complex reconstructive needs.
Purpose:
- To evaluate the efficacy and outcomes of revascularized flaps in reconstructive surgery.
- To analyze the value of reanastomized flaps in patients with irradiated recipient areas.
Summary:
- The study reports an overall success rate of 94.7% for revascularized osseous and osseocutaneous flaps.
- Despite an increased incidence of certain complications in irradiated areas, critical analysis confirms the high value of these flaps.
- Proven indications for using revascularized flaps in challenging cases are detailed.
Impact:
- Revascularized flaps are a valuable reconstructive option, particularly in patients with a history of radiotherapy.
- The findings support the continued use of these techniques in complex surgical scenarios.
- This research provides evidence-based indications for successful flap transfer in challenging recipient sites.