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Reconstruction of partial maxillary defects with the double-barrel fibula free flap.

Identifieur interne : 000009 ( PubMed/Curation ); précédent : 000008; suivant : 000010

Reconstruction of partial maxillary defects with the double-barrel fibula free flap.

Auteurs : A. Baj [Italie] ; D Ali Youssef ; R. Monteverdi ; B. Bianchi ; V A Combi ; A B Giannì

Source :

RBID : pubmed:21808451

English descriptors

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.

PubMed: 21808451

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Le document en format XML

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<title xml:lang="en">Reconstruction of partial maxillary defects with the double-barrel fibula free flap.</title>
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<nlm:affiliation>Department of Maxillo-Facial Surgery, IRCCS Istituto Ortopedico Galeazzi Milan, University of Milan, Italy. alessandro.baj@unimi.it</nlm:affiliation>
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<wicri:regionArea>Department of Maxillo-Facial Surgery, IRCCS Istituto Ortopedico Galeazzi Milan, University of Milan</wicri:regionArea>
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<div type="abstract" xml:lang="en">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.</div>
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<RefSource>Plast Reconstr Surg. 2004 Apr 1;113(4):1140-5</RefSource>
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<RefSource>Microsurgery. 1983;4(1):11-6</RefSource>
<PMID Version="1">6633239</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Plast Reconstr Surg. 1986 Aug;78(2):191-200</RefSource>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Plast Reconstr Surg. 1988 Mar;81(3):378-85</RefSource>
<PMID Version="1">3340672</PMID>
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<RefSource>Plast Reconstr Surg. 1989 Jul;84(1):71-9</RefSource>
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<RefSource>Head Neck. 1990 Sep-Oct;12(5):377-85</RefSource>
<PMID Version="1">2211097</PMID>
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<RefSource>Am J Surg. 1992 Dec;164(6):677-81</RefSource>
<PMID Version="1">1463123</PMID>
</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Br J Plast Surg. 1994 Jun;47(4):247-9</RefSource>
<PMID Version="1">8081612</PMID>
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<CommentsCorrections RefType="Cites">
<RefSource>J Oral Maxillofac Surg. 1995 Jun;53(6):640-4; discussion 644-5</RefSource>
<PMID Version="1">7776045</PMID>
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