Sandwich flaps as a feasible solution for the management of huge mandibular composite tissue defects

Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery
J WeitzMarco Rainer Kesting

Abstract

In the current therapy of head and neck defects, surgical reconstruction with the aid of pedicle or free flaps is common practice. Suitable single flaps are available to solve most reconstructive challenges. However, reconstruction can become a problem in extensive mandibular defects, as they are often caused by large primary tumors or osteoradionecrosis. These composite defects often lead to large intraoral or extraoral fistulas due to the involvement of mucosa, skin, mandible and soft tissue. These issues call for a double flap approach in order to achieve adequate reconstruction. Therefore, we developed a surgical sandwich technique as presented in this study. The procedure features the acquisition and use of two vascular flaps which can be freely combined according to their desired features (for example being of high tissue volume or osteomyocutaneous). In our study we included 11 patients (ten male, one female) with a mean age of 57 years. Seven of the patients had defects due to osteoradionecrosis and four due to tumor resection. A sandwich technique was performed in a single operation in eight patients, whereas for three patients several operations were necessary. The flaps used included: fibula free flap (FFF); anterola...Continue Reading

References

Feb 1, 1994·Plastic and Reconstructive Surgery·F C WeiM S Tsai
Mar 21, 2000·Plastic and Reconstructive Surgery·N Pallua, E Magnus Noah
Jun 5, 2002·Plastic and Reconstructive Surgery·Fu-chan WeiChih-hung Lin
Aug 1, 1965·Plastic and Reconstructive Surgery·V Y BAKAMJIAN
May 18, 2005·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Chun-Ming ChenChung-Ho Chen
Jul 25, 2006·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Klaus-Dietrich WolffFrank Hölzle
Jun 20, 2008·International Journal of Oral and Maxillofacial Surgery·B BianchiE Sesenna
Apr 22, 2009·Archives of Otolaryngology--head & Neck Surgery·Jennifer P GuillemaudJeffrey R Harris
Dec 17, 2009·Head & Neck·Chin-Ho Wong, Fu-Chan Wei
Oct 27, 2010·Journal of Reconstructive Microsurgery·Hui-Ling ChiaYee-Siang Ong
Mar 10, 2011·Head & Neck Oncology·Imke C Wehage, Hisham Fansa
Sep 20, 2011·Head & Neck·Matthew M HanasonoPeirong Yu
Mar 27, 2012·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Paolo ToscoSid Berrone
Jan 30, 2013·Plastic and Reconstructive Surgery·Peter C Neligan
Jan 29, 2014·Journal of the Korean Association of Oral and Maxillofacial Surgeons·André M Eckardt
Feb 7, 2014·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Prabha Yadav
Mar 19, 2015·Journal of Reconstructive Microsurgery·Shunsuke SakakibaraHiroto Terashi
Mar 31, 2015·International Journal of Oral and Maxillofacial Surgery·C ZhangZ Zhang
Apr 29, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Raimund H M PreidlFalk Wehrhan

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.