title: Interdisciplinary microvascular reconstruction of maxillary, midfacial and skull base defects.
abstract: Microvascular reconstruction techniques are increasingly used for reconstructive purposes in the maxilla, the midface and the cranial base. In the maxillary area, they provide the possibility of a safe closure of nasoantral perforations which are too large for local coverage with or without additional bony reconstruction (n = 14). A basis for prosthodontic rehabilitation with implant-borne dentures is also provided. Additional free bone grafts are often a prerequisite for implant insertion. In reconstruction of the midface, microvascular techniques can separate functional units, provide tissue augmentation and give orbital support (n = 12). In skull base and cranial defects, a safe coverage of duraplasties and scalp reconstructions is achieved (n = 9).
authors.affiliation: Clinic and Policlinic for Oral and Maxillofacial Surgery, Albert-Ludwigs-University, Freiburg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Schmelzeisen
authors.forename: H
authors.initials: H
authors.lastname: Schliephake
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002648:Child; D003758:Dental Implantation, Endosseous; D019094:Dental Prosthesis, Implant-Supported; D004388:Dura Mater / Q000601:surgery; D005145:Face / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000601:surgery; D006085:Graft Survival; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008443:Maxillary Sinus / Q000601:surgery; D008866:Microsurgery; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D009668:Nose Diseases / Q000601:surgery; D009915:Orbit / Q000601:surgery; D010254:Paranasal Sinus Diseases / Q000601:surgery; D012535:Scalp / Q000601:surgery; D016038:Skin Transplantation; D019291:Skull Base / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000473:pathology*