[Criteria for selecting the donor region in microsurgical reconstruction of bone defects in the area of the mouth, jaw and face].
In the time between October 1985 and April 1993 96 free vascularized bone transplantation were performed. We used iliac crest, scapular and rib grafts. The decision which donor site to use depends on several things. The pedicle of the transplant must be long at recipient sites like calvarium or upper jaw. In the lower jaw a long pedicle is needed only in cases one has to connect the vessels on the contralateral side. Scapula pedicled at the thoracodorsal artery with its long vessels is superior in these cases. Bone quality and soft tissue coverage have a great influence on the decision too. Localisation of the defect and position of the recipient vessels are the most important criteria in the choice of the donor site. So we suggest first to do the preparation of the defect and the recipient vessels and then decide the donor site.
Santler
G
G
Department für Mund-, Kiefer- und Gesichtschirurgie, Universitätsklinik für Zahn-, Mund- und Kieferheilkunde, Graz.
Kärcher
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D002648:Child; D005147:Facial Bones / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D056948:Orthognathic Surgical Procedures; D013524:Surgical Flaps / Q000379:methods
Auswahlkriterien für die Spenderregion bei der mikrochirurgischen Rekonstruktion von Knochendefekten im Mund-, Kiefer- und Gesichtsbereich.