PMID: 9546256Apr 18, 1998Paper

Combining free flap reconstruction and craniofacial prosthetic technique for orbit, scalp, and temporal defects

The Laryngoscope
R E GliklichM A Varvares

Abstract

To identify factors leading to successful application of prosthetic techniques following free flap reconstruction of the orbit, scalp, and temporal region. Retrospective review. Twenty-eight patients who underwent free flap reconstruction for defects of these regions between 1989 and 1996 were reviewed for clinical parameters, flap loss, patient survival, and implant loss rate. Prosthetic usage rates were compared before and after introduction of a site-specific reconstructive algorithm. Free flap success rate was 93%, whereas osseointegrated implant loss rate was 11%. In addition to implants, a reconstructive strategy that provided thin, vascular tissue between bone and skin, a flat platform in the temporal region, and preservation of orbital cavity depth led to increased prosthetic usage. Craniofacial prosthetic techniques can significantly augment the results of free flap surgery for the orbit, scalp, and temporal region. Successful combination of these techniques requires a site-specific surgical approach.

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Citations

Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Richard A SmithAnthony G Sclar
Jan 20, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Vincent Vander PoortenPierre Delaere
Sep 30, 2004·The Laryngoscope·Douglas B ChepehaTheodoros N Teknos
Feb 27, 2015·Plastic and Reconstructive Surgery·Michael SosinEduardo D Rodriguez
Jan 26, 2010·The Journal of Craniofacial Surgery·Secil KarakocaBilge Turhan Bal
Jan 21, 2004·Archives of Facial Plastic Surgery·John L Frodel, Karen Ahlstrom
Dec 4, 2012·Oncology Letters·Monica C P MelloLuciano L Dib
Mar 3, 2006·The Lancet Oncology·Neal D Futran, Eduardo Mendez

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