title: [Results and special aspects of secondary microsurgical bone transfer in the area of the facial skull].
abstract: Results and significance of secondary reconstruction of mandibular and maxillary defects. The results of 14 patients with 12 mandibular and 2 maxillary defects following tumour surgery with irradiation and/or chemotherapy, osteomyelitis, osteoradionecrosis or trauma, which were reconstructed secondarily, are presented. 12 flaps survived, 1 flap showed a partial and 1 flap a complete necrosis due to venous thrombosis. The major differences of secondary reconstruction of bone defects in the facial skeleton in comparison to primary reconstruction are the scar formation in the defect region and above all the reduced number and quality of recipient vessels in the neck area. The design of the flap should be exactly determined preoperatively. Of great importance is the examination of the recipient vessels in the neck area. Non-invasive methods are preferred.
authors.affiliation: Klinik für Kiefer- und Plastische Gesichtschirurgie Westdeutsche Kieferklinik, Düsseldorf.
authors.forename: S
authors.initials: S
authors.lastname: Reinert
authors.forename: J
authors.initials: J
authors.lastname: Lentrodt
mesh_terms: D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D006085:Graft Survival / Q000502:physiology; D006801:Humans; D008297:Male; D008334:Mandible / Q000000981:diagnostic imaging / Q000601:surgery*; D008437:Maxilla / Q000000981:diagnostic imaging / Q000601:surgery*; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation
vernacular_title: Ergebnisse und besondere Gesichtspunkte des sekundären mikrochirurgischen Knochentransfers in die Gesichtsschädelregion.