SOFT-TISSUE COVERAGE OF MANDIBULAR RECONSTRUCTION PLATES

被引:49
作者
CORDEIRO, PG [1 ]
HIDALGO, DA [1 ]
机构
[1] MEM SLOAN KETTERING CANC CTR,DIV PLAST & RECONSTRUCT SURG,NEW YORK,NY 10021
来源
HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 1994年 / 16卷 / 02期
关键词
D O I
10.1002/hed.2880160203
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Free tissue transfer was compared to pectoralis major flap coverage of mandibular reconstruction plates in a retrospective review. The study group consisted of 14 patients whose composite defects were reconstructed with metal plates covered with either pectoralis flaps (9) or soft tissue free flaps (5). Four patients in the pectoralis group (44%) had plates that extruded compared to none in the free flap group. The mean operating room time for the free flap group (721 minutes) was longer than the pectoralis group (550 minutes), but the overall hospital stay for the free flap group (20 days) was half that of the pectoralis group (39 days). The pectoralis group required more secondary procedures (88%) than the free flap group (20%). Free flaps have a higher success rate, a shorter hospital stay, and require fewer additional procedures than do pectoralis flaps. This justifies the longer operating time and greater technical complexity of free tissue transfer for reliable coverage of mandibular reconstruction plates.
引用
收藏
页码:112 / 115
页数:4
相关论文
共 28 条
[1]   PECTORALIS-MAJOR MYOCUTANEOUS FLAP - VERSATILE FLAP FOR RECONSTRUCTION IN THE HEAD AND NECK [J].
ARIYAN, S .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1979, 63 (01) :73-81
[2]   FURTHER EXPERIENCES WITH THE PECTORALIS-MAJOR MYOCUTANEOUS FLAP FOR THE IMMEDIATE REPAIR OF DEFECTS FROM EXCISIONS OF HEAD AND NECK CANCERS [J].
ARIYAN, S .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1979, 64 (05) :605-612
[3]   AN ANALYSIS OF 133 PECTORALIS MAJOR MYOCUTANEOUS FLAPS [J].
BAEK, SM ;
LAWSON, W ;
BILLER, HF .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1982, 69 (03) :460-467
[4]  
BIRT D, 1988, J OTOLARYNGOL, V17, P274
[5]  
CHOW JM, 1986, LARYNGOSCOPE, V96, P768
[6]  
CUMMINGS CW, 1981, ANN OTO RHINOL LARYN, V91, P1013
[7]  
Daniel R K, 1978, Ann Plast Surg, V1, P346, DOI 10.1097/00000637-197807000-00002
[8]   A COMPARISON OF THE RESULTS FOLLOWING OROMANDIBULAR RECONSTRUCTION USING A RADIAL FOREARM FLAP WITH EITHER RADIAL BONE OR A RECONSTRUCTION PLATE [J].
DAVIDSON, J ;
BOYD, B ;
GULLANE, P ;
ROTSTEIN, L ;
FREEMAN, J ;
MANKTELOW, R ;
ROSEN, I .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1991, 88 (02) :201-208
[9]  
GULLANE PJ, 1986, ARCH OTOLARYNGOL, V112, P714
[10]   FIBULA FREE FLAP - A NEW METHOD OF MANDIBLE RECONSTRUCTION [J].
HIDALGO, DA .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1989, 84 (01) :71-79