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Dergiler / İstanbul Tıp Fakültesi Dergisi / 2026 / Cilt: 89 Sayı: 2

ONCOLOGIC MIDFACE DEFECTS AND RECONSTRUCTION WITH SOFT TISSUE FLAPS

Süleyman Çeçen(Bursa Uludağ Üniversitesi)0000-0003-2430-727X
Menekşe Kastamoni Başkan(BURSA ULUDAG UNIVERSITY)0000-0002-4667-1550
Kaan Kavruk(Sultan Gazi Haseki Training and Research Hospital, Plastic Reconstructive and Aesthetic Surgery Department)0000-0002-4899-9840
Selçuk Akın(BURSA ULUDAG UNIVERSITY)0000-0003-1683-0722
Güzin Yeşim Özgenel(BURSA ULUDAG UNIVERSITY)0000-0003-0000-8355
Sayfa
110–115
Yayın Tarihi
2026-05-13
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Large prospective studies are warranted to further define indications and long-term outcomes.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: To retrospectively evaluate the use of soft-tissue free-flap reconstruction for midfacial defects, focusing on defect characteristics, flap selection, recipient vessels, postoperative complications, and functional outcomes.
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Temel Bulgular & Veri:Materials and Methods: A retrospective analysis was conducted on patients who received free-flap reconstruction for midfacial defects from 2021 to 2023.
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Sonuç & Katkı:Large prospective studies are warranted to further define indications and long-term outcomes.
🔬Tür:Araştırma Makalesi
📍Kapsam:2021 Verileri
⚙️Değişkenler:midfacial reconstruction · fasciocutaneous flap · free flap

Abstract

Objective: To retrospectively evaluate the use of soft-tissue free-flap reconstruction for midfacial defects, focusing on defect characteristics, flap selection, recipient vessels, postoperative complications, and functional outcomes. Materials and Methods: A retrospective analysis was conducted on patients who received free-flap reconstruction for midfacial defects from 2021 to 2023. Demographic data, defect classifications, flap selections, recipient vessels, complications, and postoperative outcomes were examined. Results: Fasciocutaneous flaps, primarily anterolateral thigh (ALT) and latissimus dorsi (LD) flaps, were used in all cases. The facial artery and internal jugular veins were the most commonly used recipient systems for microsurgical anastomosis. Complications occurred in 36.4% of patients, including one flap loss and manageable postoperative events. Functional restoration included effective dead space obliteration, basal orbital support, oral-nasal separation, swallowing, speech preservation, and oral competence. Patients receiving adjuvant therapy had higher complication rates. Conclusions: Fasciocutaneous free flaps offer a dependable and efficient reconstructive solution for midfacial defects, providing adequate functional and aesthetic outcomes with minimal morbidity. They represent a viable alternative to bone flaps in selected cases, especially where oncologic safety and margin concerns predominate. Large prospective studies are warranted to further define indications and long-term outcomes.

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Bu Makaleye Atıf Yap

Çeçen, S., Başkan, M. K., Kavruk, K., Akın, S., Özgenel, G. Y. (2026). ONCOLOGIC MIDFACE DEFECTS AND RECONSTRUCTION WITH SOFT TISSUE FLAPS. İstanbul Tıp Fakültesi Dergisi, Cilt: 89 Sayı: 2, 110–115. https://doi.org/10.26650/IUITFD.1847765

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Kaynakça (19)

  1. Spiro RH, Strong EW, Shah JP. Maxillectomy and its classification. Head Neck 1997;19(4):309-14. google scholar
  2. Brown JS, Rogers SN, McNally DN, Boyle M. A modified classification for the maxillectomy defect. Head Neck 2000;22(1):17-26. google scholar
  3. Brown JS, Shaw RJ. Reconstruction of the maxilla and midface: introducing a new classification. Lancet Oncol 2010;11(10):1001-8. google scholar
  4. Cordeiro PG, Santamaria E. A Classification system and algorithm for reconstruction of maxillectomy and midfacial defects. Plast Reconstr Surg 2000;105(7):2331-46. google scholar
  5. Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part II. Technical modifications to maximize aesthetic and functional outcomes Plast Reconstr Surg 2012;129(1):139-47. google scholar
  6. Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part I. Algorithm and outcomes. Plast Reconstr Surg 2012;129(1):124-36. google scholar
  7. Hanasono MM, Silva AK, Yu P, Skoracki RJ. A comprehensive algorithm for oncologic maxillary reconstruction. Plast Reconstr Surg 2013;131(1):47-60. google scholar
  8. Costa H, Zenha H, Sequeira H, Coelho G, Gomes N, Pinto C, et al. Microsurgical reconstruction of the maxilla: Algorithm and concepts. J Plast Reconstr Aesthet Surg 2015;68(5):e89-104. google scholar
  9. Hammer D, Vincent AG, Williams F, Ducic Y. Considerations in free flap reconstruction of the midface. Facial Plastic Surg 2021;37(06):759-70. google scholar
  10. Cinar C, Arslan H, Ogur S, Kilic A, Anl Bingol U, Yucel A. Free rectus abdominis myocutaneous flap with anterior rectus sheath to provide the orbital support in globesparing total maxillectomy. J Craniofac Surg 2006;17(5):986-91. google scholar
  11. Cho MJ, Hanasono MM. Virtual surgical planning in free tissue transfer for orbito-maxillary reconstruction. Semin Plast Surg 2022;36(03):183-91. google scholar
  12. Hanasono MM, Jacob RF, Bidaut L, Robb GL, Skoracki RJ. Midfacial reconstruction using virtual planning, rapid prototype modeling, and stereotactic navigation. Plast Reconstr Surg 2010;126(6):2002-6. google scholar
  13. Kang YF, Lv XM, Qiu SY, Ding MK, Xie S, Zhang L, et al. Virtual surgical planning of deep circumflex iliac artery flap for midface reconstruction. Front Oncol 2021;11:718146. google scholar
  14. Badhey AK, Khan MN. Palatomaxillary reconstruction: Fibula or scapula. Semin Plast Surg 2020;34(02):086-91. google scholar
  15. Ferri A, Perlangeli G, Bianchi B, Zito F, Sesenna E, Ferrari S. Maxillary reconstruction with scapular tip chimeric free flap. Microsurgery 2021;41(3):207-15. google scholar
  16. Aksu AE, Uzun H, Bitik O, Tunçbilek G, Şafak T. Microvascular tissue transfers for midfacial and anterior cranial base reconstruction. J Craniofac Surg 2017;28(3):659-63. google scholar
  17. Vincent A, Burkes J, Williams F, Ducic Y. Free flap reconstruction of the maxilla. Semin Plast Surg 2019;33(01):030-7. google scholar
  18. Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: part II. Technical modifications to maximize aesthetic and functional outcomes Plast Reconstr Surg 2012;129(1):139-47. google scholar
  19. Kang YF, Lv XM, Qiu SY, Ding MK, Xie S, Zhang L, et al. Virtual surgical planning of deep circumflex iliac artery flap for midface reconstruction. Front Oncol 2021;11:718146. google scholar