[Tissue preparation in combined scapula flap for microsurgical reconstruction of defects of the oromaxillofacial area].
Nowadays, in congenital or acquired large oro-maxillofacial defects microsurgical reconstruction is mainly performed by revascularized osseous, osteocutaneous, or osteomyocutaneous distant flaps. The aim of reconstruction includes not only restoration of stable continuity and esthetic contour, but also the restoration of a functioning "chewing organ". For reconstruction in maxillary and midface defects, we prefer the scapular flap for a single-step reconstruction. Tissue prefabrication results in osseointegrated implants and thin mucosal linings with stable soft tissue conditions at the time of microsurgical reconstruction. Following dental restoration, full oral function is given. This single-stage procedure improves the psychosocial situation of the patient considerably when compared with conventional multi-stage reconstruction.
Vinzenz
K
K
Abteilung für Plastische und Wiederhersteilende Chirurgie, Wilhelminenspital, Wien.
Holle
J
J
Würinger
E
E
Kulenkampff
K J
KJ
D000328:Adult; D001158:Arteries / Q000601:surgery; D016025:Bone Transplantation / Q000379:methods*; D002508:Cephalometry; D004954:Esthetics; D005153:Facial Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008297:Male; D008441:Maxillary Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008447:Maxillofacial Prosthesis; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019647:Oral Surgical Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation