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[Secondary oro-mandibular reconstruction using revascularized bone flaps]

S Ferrari1, M Raffaini, B Bianchi

  • 1Cattedra e Divisione di Chirurgia Maxillo-Facciale, Azienda Ospedaliera, Parma.

Minerva Stomatologica
|June 9, 1998
PubMed
Summary
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Secondary oro-mandibular reconstruction using vascularized bone-containing free flaps demonstrates high success rates. These advanced techniques restore function and improve quality of life in complex cases.

Area of Science:

  • Oral and Maxillofacial Surgery
  • Microsurgery
  • Reconstructive Surgery

Context:

  • Secondary oro-mandibular reconstruction presents challenges like soft tissue contracture and deficiencies.
  • Vascularized bone-containing free flaps are crucial for cases needing both hard and soft tissue replacement or compromised recipient beds.

Purpose:

  • To evaluate the efficacy of vascularized bone-containing free flaps in secondary oro-mandibular reconstruction.
  • To present personal experience with ten cases of secondary oro-mandibular reconstruction.

Summary:

  • Ten cases of secondary oro-mandibular reconstruction were performed using iliac crest or fibula free flaps (osseous or osteocutaneous).
  • All flaps were successfully transplanted, with one instance of skin component necrosis.

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Impact:

  • Vascularized bone-containing free flaps have significantly advanced mandibular reconstruction.
  • These techniques restore articulation, deglutition, and mastication, enhancing patient quality of life, even in irradiated or contaminated sites.