title: A new nasal cavity and maxilla reconstruction method using jejunum flap with non-vascularised bone.
abstract: Reconstruction of the midface is still challenging for reconstructive surgeons because of its complex structure and the need for an aesthetic result. We used a free jejunum flap for the nasal cavity and non-vascularised bone covered by the jejunal seromuscular patch for the facial bone structure. One patient who had a midface defect received reconstructive surgery using free jejunum flap with non-vascularised bone. The nasal cavity reconstruction using jejunal mucosa was moisturised and had less crust formation. The nasal cavity space was very large and patients could breathe easily via the nose. The non-vascularised bone covered by the jejunal seromuscular patch did not dry out or become less absorbent. The reconstruction of the nasal cavity and maxilla using free jejunum flap with non-vascularised bone is novel and useful in some surgical cases.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Saitama Cancer Center, 818 Komuro Inamachi Kitaadachigunn, Saitama 362-0806, Japan. a.hamahata@gmail.com
authors.forename: Atsumori
authors.initials: A
authors.lastname: Hamahata
authors.forename: Takashi
authors.initials: T
authors.lastname: Saitou
authors.forename: Takesi
authors.initials: T
authors.lastname: Beppu
authors.forename: Takashi
authors.initials: T
authors.lastname: Yamaki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sakurai
mesh_terms: D016025:Bone Transplantation; D058752:Free Tissue Flaps; D006801:Humans; D007583:Jejunum / Q000637:transplantation*; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*