[Ora-maxillofacial traumatic defects reconstruction with free flaps].
OBJECTIVE
To evaluate the application, indications and outcomes of free flaps for ora-maxillofacial traumatic defects reconstruction.


METHODS
Twenty consecutive cases of ora-maxillofacial the traumatic defects reconstruction with free flaps were reviewed. All clinical data including causes of injuries, the type of defects, selection of free flaps, perioperative complications and the follow-up were analyzed.


RESULTS
All the cases underwent free flap reconstruction for ora-maxillofacial traumatic defects: 8 cases with soft tissue defects, 12 cases with soft and hard tissue defects. Fifteen patients received two-stage operation and 5 patients underwent primary reconstruction at the time of debridement or fracture reduction. Twenty free flaps were applied for the reconstruction, 11 cases with fibula flap, 1 case with iliac crest free flap, 7 cases with radial forearm flap and 1 case with scapula flap. No flap failure occurred. The successful rate of free flaps transfer was 100%.


CONCLUSIONS
The free flaps transfer is reliable and can reconstruct the ora-maxillofacial traumatic soft and hard tissue defects. Fibula and radial forearm free flap are the most common used flaps. Early aggressive surgery with free flaps transfer for traumatic defects can prevent the scar contracture and tissue displace, which can shorten the treatment period and improve the final outcome.
Peng
Xin
X
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China. pxpengxin@263.net
Mao
Chi
C
Zhang
Yi
Y
Zhang
Lei
L
An
Jin-gang
JG
Yu
Guang-yan
GY
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D058752:Free Tissue Flaps; D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000601:surgery*; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D017695:Soft Tissue Injuries / Q000601:surgery*; D055815:Young Adult