Primary oromandibular reconstruction using free flaps and thorp plates in cancer patients: A 5‐year experience
Identifieur interne : 006151 ( Istex/Corpus ); précédent : 006150; suivant : 006152Primary oromandibular reconstruction using free flaps and thorp plates in cancer patients: A 5‐year experience
Auteurs : Tito Poli ; Silvano Ferrari ; Bernardo Bianchi ; Enrico SesennaSource :
- Head & Neck [ 1043-3074 ] ; 2003-01.
English descriptors
- KwdEn :
- Arch otolaryngol head neck surg, Craniomaxillofacial skeleton, Defect, Fibula, Fixation, Flap, Flaps, Forearm, Fracture, Free flap, Free flaps, Functional results, Hard palate, Head neck january, Iliac crest, Intraoral, Intraoral plate exposure, January, Lateral, Mandible, Mandible reconstruction, Mandibular, Mandibular continuity, Mandibular defects, Mandibular reconstruction, Mandibular segment, Mlnd, Mlnd right thorp forearm, Mrps, Oral cavity, Oromandibular, Oromandibular reconstruction, Otolaryngol, Plast, Plast reconstr surg, Plate exposure, Plate fracture, Poor performance status, Posterolateral, Posterolateral mandibular defects, Postop, Postoperative, Primary oromandibular reconstruction, Primary surgery, Pterygoids right, Radial forearm, Reconstr, Reconstruction, Reconstructive, Relapse preop, Resection, Rigid fixation, Slnd, Soft tissue, Soft tissue reconstruction, Surg, Surgical, Thorp, Thorp forearm, Thorp plate, Thorp tram, Titanium, Titanium plate, Tram, Tumor resection, Urken.
- Teeft :
- Arch otolaryngol head neck surg, Craniomaxillofacial skeleton, Defect, Fibula, Fixation, Flap, Flaps, Forearm, Fracture, Free flap, Free flaps, Functional results, Hard palate, Head neck january, Iliac crest, Intraoral, Intraoral plate exposure, January, Lateral, Mandible, Mandible reconstruction, Mandibular, Mandibular continuity, Mandibular defects, Mandibular reconstruction, Mandibular segment, Mlnd, Mlnd right thorp forearm, Mrps, Oral cavity, Oromandibular, Oromandibular reconstruction, Otolaryngol, Plast, Plast reconstr surg, Plate exposure, Plate fracture, Poor performance status, Posterolateral, Posterolateral mandibular defects, Postop, Postoperative, Primary oromandibular reconstruction, Primary surgery, Pterygoids right, Radial forearm, Reconstr, Reconstruction, Reconstructive, Relapse preop, Resection, Rigid fixation, Slnd, Soft tissue, Soft tissue reconstruction, Surg, Surgical, Thorp, Thorp forearm, Thorp plate, Thorp tram, Titanium, Titanium plate, Tram, Tumor resection, Urken.
Abstract
Low‐profile second‐generation THORP titanium plates combined with soft tissues free flaps (forearm or TRAM) can be used for oromandibular reconstruction in patients with SCC in advanced stage (stage III–IV).
Url:
DOI: 10.1002/hed.10181
Links to Exploration step
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Background.
<p>Low‐profile second‐generation THORP titanium plates combined with soft tissues free flaps (forearm or TRAM) can be used for oromandibular reconstruction in patients with SCC in advanced stage (stage III–IV).</p>
Methods.
<p>To evaluate long‐term stability and possible complications of this reconstructive technique, we recorded, retrospectively, data of 25 patients with posterolateral oromandibular defects after tumor resection collected during a 5‐year period.</p>
Results.
<p>All free flaps were successfully transferred, although eight patients were initially seen with delayed hardware‐related reconstructive complications: plate exposure in four patients and plate fracture in four patients.</p>
Conclusions.
<p>Nowadays, the state‐of‐the‐art treatment for mandibular defects is primary bone reconstruction with bone free flaps, but in selected cases (elderly patients, poor performance status, posterolateral oromandibular defects, soft tissue defects much more important than bone defects) the association with THORP plate‐soft tissue free flaps represents a good reconstructive choice. © 2002 Wiley Periodicals, Inc. Head Neck 24: 000–000, 2002</p>
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<p>Nowadays, the state‐of‐the‐art treatment for mandibular defects is primary bone reconstruction with bone free flaps, but in selected cases (elderly patients, poor performance status, posterolateral oromandibular defects, soft tissue defects much more important than bone defects) the association with THORP plate‐soft tissue free flaps represents a good reconstructive choice. © 2002 Wiley Periodicals, Inc. Head Neck 24: 000–000, 2002</p>
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