[Reconstruction after surgical treatment of head and neck cancer: surgical and prosthetic possibilities].
Soft and hard tissue defects in the head and neck region after benign or malignant tumour resection, can be reconstructed by surgical techniques, such as tissue transplantation, and/or prostheses. The aim of reconstruction is to restore the original esthetics and functions of the bone and soft tissues that have been resected. The introduction of free vascularized osteomyocutaneous fibula and iliac crest flaps improved the surgical possibilities of reconstructing the mandible and the maxilla. With respect to oral rehabilitation, a reconstruction of the mandible and the maxilla should be carried out in such a way that it provides an adequate base for inserting endosseous implants, which will retain a removable or fixed prosthesis This requires good interdisciplinary planning, in which the plan for prosthetic treatment determines, in part, the choice of reconstruction method.
Uit de afdeling Mondziekten en Kaakchirurgie, Orale Pathologie, VU medisch centrum, Academisch Centrum voor Tandheelkunde Amsterdam (ACTA) te Amsterdam, Amsterdam. eajm.schulten@vumc.nl
E A J M
EA
Schulten
H A H
HA
Winters
A E
AE
Koch
D016025:Bone Transplantation; D003758:Dental Implantation, Endosseous / Q000379:methods*; D006258:Head and Neck Neoplasms / Q000534:rehabilitation* / Q000601:surgery; D006801:Humans; D008334:Mandible / Q000601:surgery; D008437:Maxilla / Q000601:surgery; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps