Osseous free tissue transfer in head and neck reconstruction.
Large palatomaxillary and oromandibular defects have a dramatic impact on speech, deglutition, mastication, and cosmesis. Traditional methods of reconstruction, such as locoregional flaps, free bone grafts, alloplastic materials, and prosthetic devices, have difficulty providing meaningful aesthetic and functional reconstruction of these defects. This article discusses current concepts in the reconstruction of large composite palatomaxillary and oromandibular defects with an emphasis on the role of free tissue transfer, including the factors to be evaluated when choosing a method of reconstruction, indications for specific donor sites, and recent technical refinements.
Fong
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BP
Division of Head and Neck Surgery, Department of Otolaryngology/Head and Neck Surgery, University of Iowa College of Medicine, 200 Hawkins Drive, Room E230 GH, Iowa City, IA 52242, USA.
Funk
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GF
D000328:Adult; D000368:Aged; D016025:Bone Transplantation / Q000379:methods*; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003758:Dental Implantation, Endosseous; D005260:Female; D005360:Fibula / Q000098:blood supply / Q000637:transplantation; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000098:blood supply / Q000637:transplantation; D008297:Male; D008446:Maxillofacial Injuries / Q000601:surgery*; D010158:Palatal Obturators; D021362:Palate, Hard / Q000293:injuries / Q000601:surgery; D011884:Radius / Q000098:blood supply / Q000601:surgery / Q000637:transplantation; D019651:Plastic Surgery Procedures / Q000379:methods*; D012540:Scapula / Q000098:blood supply / Q000637:transplantation; D016038:Skin Transplantation; D013524:Surgical Flaps / Q000098:blood supply