AI Summary & Key Takeaways
AI InsightRapidrecovery, low morbidity, acceptable oral competency, and satisfactorycosmetic appearance were obtained with the reconstruction usingfVRAM flaps.Conclusion: According to our limited experience, acceptablereconstruction of extensive maxillary defects can be done with usingonly soft tissue flap, which is versatile and safe.
📌 3 Key Takeaways
Abstract
Objective: Although the midface is supported by maxillarybone, reconstruction of maxillary bony defects does not alwaysrequire osseous reconstruction. A series of maxillary facial defectsof moderate to severe sizes (Brown and Shaw 4-6) uniformlyreconstructed with myocutaneous free flaps is presented.Methods: Retrospective analysis was done for consecutive 10cases between 2013-18. Seven of the cases had defects caused byoncological resection and 3 defects caused by trauma. Free verticallyoriented rectus abdominis (fVRAM) flap was used to reconstructthese defects.The mean age of patients was 42.9 years (range=20-71 years). Allflaps survived and 2 flaps had small skin island problems. Rapidrecovery, low morbidity, acceptable oral competency, and satisfactorycosmetic appearance were obtained with the reconstruction usingfVRAM flaps.Conclusion: According to our limited experience, acceptablereconstruction of extensive maxillary defects can be done with usingonly soft tissue flap, which is versatile and safe.
Özet
Amaç: Maksiller kemik orta yüzün iskeletsel desteğini oluşturmakla beraber, kemik doku kullanılmadan da orta yüz rekonstrüksiyonu yapılabilir. Bu amaçla orta yüz bölgesinin orta ila şiddetli boyutlardaki (Brown ve Shaw 4-6) defektlerinde kas deri serbest flebini kullandık 2013-18 yılları arasında ardışık 10 vaka için retrospektif analiz yapıldı. Olguların yedisi onkolojik rezeksiyon, üçü travma nedenli idi. Tüm olgularda serbest vertikal rektus abdominis kas deri flebi kullanıldı Yöntemler: Hastaların yaş ortalaması 42,9 idi (20-71). İki flepte deri adasında küçük problemler dışında tüm flepler sorunsuz iyileşti. Bu çalışmada, hızlı iyileşme, düşük morbidite, kabul edilebilir oral yetkinlik ve tatmin edici kozmetik görünüm elde edildi Sonuç: Sınırlı tecrübemize göre, orta yüzün kemik içeren orta-geniş defektlerinde sadece yumuşak doku içeren rekonstrüksiyon kabul edilebilir bir seçenektir.