[Reconstruction of the mandibular symphysis using a revascularized free flap of the scapula. Surgical technic].
In cases of surgically removed mandibular symphysis malignancies, the bone and mouth floor were reconstructed using osteo-musculo-cutaneous flaps. In our experience, the latter provide the best results. Removed in dorsal decubitus, they allow floor replacement. During the dissection of the tumor site, we also preserve labial and chin structures, which favours a good restoration of phonation and swallowing.
Mayot
D
D
Service ORL, CHRU de Nancy-Brabois, Vandoeuvre-les-Nancy.
Perrin
C
C
Lindas
P
P
Dron
K
K
D000758:Anesthesia; D001158:Arteries / Q000601:surgery; D001860:Bone Plates; D016025:Bone Transplantation / Q000379:methods* / Q000473:pathology; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000601:surgery; D008297:Male; D008334:Mandible / Q000098:blood supply / Q000601:surgery*; D008339:Mandibular Neoplasms / Q000601:surgery; D008866:Microsurgery; D008875:Middle Aged; D009060:Mouth Floor / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery; D009132:Muscles / Q000098:blood supply / Q000637:transplantation*; D012540:Scapula / Q000098:blood supply; D016038:Skin Transplantation / Q000379:methods* / Q000473:pathology; D013524:Surgical Flaps / Q000379:methods* / Q000473:pathology; D013536:Suture Techniques