Reconstruction of partial maxillary defects with the double-barrel fibula free flap
Identifieur interne : 000038 ( Main/Exploration ); précédent : 000037; suivant : 000039Reconstruction of partial maxillary defects with the double-barrel fibula free flap
Auteurs : A. Baj ; D. Ali Youssef ; R. Monteverdi ; B. Bianchi ; V. A. Combi ; A. B. GiannìSource :
- Acta Otorhinolaryngologica Italica [ 0392-100X ] ; 2010.
English descriptors
- KwdEn :
- MESH :
- methods : Reconstructive Surgical Procedures.
- surgery : Maxilla.
- transplantation : Fibula.
- Female, Free Tissue Flaps, Humans, Middle Aged.
Abstract
Maxillary reconstruction still remains challenging for surgeons despite the fact that maxilla is a static structure. The correct shape and volume of the reconstruction can guarantee the best result in terms of soft tissue support and functional outcome for the patients restoring three-dimensional support of the mid third. The fibula free flap seems to be the best free flap to apply in this type of reconstruction, partial maxillectomy, in particular, can benefit from reconstruction with the double barrelled fibula free flap. In fact, this shape can provide the best support to cheek tissue and minimize the tendency of upper retraction of the alar base of the nose and lips. Moreover, the free flap, containing bone, can restore a skeletal structure that will provide adequate bony support for osteointegrated implant prosthesis rehabilitation. All these conditions can be achieved with the double barrel fibula flap that we consider a good approach for maxillary reconstruction
Url:
PubMed: 21808451
PubMed Central: 3146323
Affiliations:
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Le document en format XML
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<author><name sortKey="Ali Youssef, D" sort="Ali Youssef, D" uniqKey="Ali Youssef D" first="D." last="Ali Youssef">D. Ali Youssef</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Female</term>
<term>Fibula (transplantation)</term>
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<term>Maxilla (surgery)</term>
<term>Middle Aged</term>
<term>Reconstructive Surgical Procedures (methods)</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Fibula</term>
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<front><div type="abstract" xml:lang="en"><title>SUMMARY</title>
<p>Maxillary reconstruction still remains challenging for surgeons despite the fact that maxilla is a static structure. The correct shape and volume of the reconstruction can guarantee the best result in terms of soft tissue support and functional outcome for the patients restoring three-dimensional support of the mid third. The fibula free flap seems to be the best free flap to apply in this type of reconstruction, partial maxillectomy, in particular, can benefit from reconstruction with the double barrelled fibula free flap. In fact, this shape can provide the best support to cheek tissue and minimize the tendency of upper retraction of the alar base of the nose and lips. Moreover, the free flap, containing bone, can restore a skeletal structure that will provide adequate bony support for osteointegrated implant prosthesis rehabilitation. All these conditions can be achieved with the double barrel fibula flap that we consider a good approach for maxillary reconstruction</p>
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