Ora-maxillofacial traumatic defects reconstruction with free flaps / 中华口腔医学杂志
Chinese Journal of Stomatology
;
(12): 650-652, 2008.
Artigo
em Chinês
| WPRIM
| ID: wpr-250978
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the application, indications and outcomes of free flaps for ora-maxillofacial traumatic defects reconstruction.</p><p><b>METHODS</b>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.</p><p><b>RESULTS</b>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%.</p><p><b>CONCLUSIONS</b>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.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Lesões dos Tecidos Moles
/
Procedimentos de Cirurgia Plástica
/
Retalhos de Tecido Biológico
/
Traumatismos Maxilofaciais
/
Métodos
Limite:
Adolescente
/
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Stomatology
Ano de publicação:
2008
Tipo de documento:
Artigo
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