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- Title
Boneless Maxillary Reconstruction.
- Authors
KELAHMETOĞLU, Osman; GÜNEREN, Ethem; KUZU, İsmail Melih; YILDIZ, Kemalettin
- Abstract
Objective: Although the midface is supported by maxillary bone, reconstruction of maxillary bony defects does not always require osseous reconstruction. A series of maxillary facial defects of moderate to severe sizes (Brown and Shaw 4-6) uniformly reconstructed with myocutaneous free flaps is presented. Methods: Retrospective analysis was done for consecutive 10 cases between 2013-18. Seven of the cases had defects caused by oncological resection and 3 defects caused by trauma. Free vertically oriented rectus abdominis (fVRAM) flap was used to reconstruct these defects. The mean age of patients was 42.9 years (range=20-71 years). All flaps survived and 2 flaps had small skin island problems. Rapid recovery, low morbidity, acceptable oral competency, and satisfactory cosmetic appearance were obtained with the reconstruction using fVRAM flaps. Conclusion: According to our limited experience, acceptable reconstruction of extensive maxillary defects can be done with using only soft tissue flap, which is versatile and safe.
- Subjects
MUSCULOCUTANEOUS flaps; RECTUS abdominis muscles; FREE flaps; RETROSPECTIVE studies; FINGER injuries
- Publication
Bezmialem Science, 2020, Vol 8, Issue 1, p102
- ISSN
2148-2373
- Publication type
Article
- DOI
10.14235/bas.galenos.2019.3159