Latissimus-serratus-rib free flap for oromandibular and maxillary reconstruction
Latissimus-serratus-rib free flap for oromandibular and maxillary reconstruction
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DOI：
10.1001/archotol.133.8.791
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发表时间：
2007-08-01
影响因子：
--
通讯作者：
Blackwell, Keith E.
中科院分区：
文献类型：
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作者：
Kim, Paul D.;Blackwell, Keith E.
目的：回顾阔肌-锯肌-肋骨游离皮瓣oromandibular和面中部重建相关的并发症和结局。设计：回顾性病历回顾。设置：两个学术三级医疗中心。患者：口腔肿瘤切除后行下颌骨节段性切除28例，下颌骨联合切除1例，干预措施：27例阔肌-锯肌-肋骨骨肌游离皮瓣重建和2例锯肌-肋骨骨肌游离皮瓣重建。主要结果测量：结果：无围手术期游离组织瓣失败。1例患者在游离组织瓣移植修复上颌骨缺损后33个月发生肋骨移植骨延迟性吸收。28例下颌骨重建患者中，1例术后57个月植骨不连。其余病例均获得了下颌骨连续性的成功恢复。供区流动性在所有patients.Conclusion：阔锯肌肋骨骨肌皮瓣游离移植是有效的，用于重建复合缺损的下颌骨的患者谁不是候选人更常用的血管化骨含游离皮瓣。
Objective: To review complications and outcomes associated with latissimus-serratus-rib free flap oromandibular and midface reconstruction.Design: Retrospective medical record review.Setting: Two academic tertiary care medical centers.Patiensts: Twenty-eight patients with segmental resection of the mandible and 1 patient with combined resection of the mandible and maxilla after excision of neoplasms of the oral cavity, who were believed to be poor candidates for fibula free flap feconstruction, were identified.Interventions: Twenty-seven latissimus-serratus-rib osteomusculocutaneuous free flap reconstructions and 2 serratus-rib osteomuscular free flap reconstructions were performed.Main Outcome Measures: The outcome of micro vascular free tissue transfer as well as short- and long-term complications were recorded.Results: There were no perioperative free flap failures. Delayed partial rib graft resorption occured in 1 patient 33 months after free flap transfer for maxillary reconstruction. Among 28 cases of mandibular reconstruction, 1 case of bone graft nonunion was noted after a postoperative period of 57 months. All other cases achieved successful restoration of mandibular contibuity. Donor site mobidity was well-tolerated in all patients.Conclusion: Latissimus-serratus-rib osteomusculocutaneous free flaps are effective for reconstruction of composite defects of the mandible in patients who are not candidates for more commonly used vascularized bone-containing free flaps.