Use of microvascular flaps including free osteocutaneous flaps in reconstruction after composite resection for radiation-recurrent oral cancer.
Fourteen patients underwent microsurgical free flap procedures for reconstruction after composite resection of radiation-recurrent oral cancer. The use of attached metatarsal bone in nine patients for mandibular reconstruction is in our view a significant advance in this field. Two failures occurred, one due to sepsis and one to delayed thrombosis. Our experience indicates that this procedure deserves a place in the surgical treatment of patients afflicted with oral malignancy.
D000328:Adult; D000368:Aged; D016025:Bone Transplantation; D001842:Bone and Bones / Q000098:blood supply; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery*; D003679:Deglutition; D004954:Esthetics; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008336:Mandibular Diseases / Q000601:surgery; D008339:Mandibular Neoplasms / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D010025:Osteoradionecrosis / Q000601:surgery; D011878:Radiotherapy / Q000009:adverse effects*; D012867:Skin / Q000098:blood supply; D016038:Skin Transplantation; D013060:Speech; D013524:Surgical Flaps; D014182:Transplantation, Autologous; D014945:Wound Healing