Reconstruction of a complex midfacial defect with the folded fibular free flap and osseointegrated implants

被引：42

作者：

Anthony, JP ^{[1
]}

Foster, RD ^{[1
]}

Sharma, AB ^{[1
]}

Kearns, GJ ^{[1
]}

Hoffman, WY ^{[1
]}

Pogrel, MA ^{[1
]}

机构：

[1] UNIV CALIF SAN FRANCISCO,DEPT ORAL & MAXILLOFACIAL SURG,SAN FRANCISCO,CA 94143

来源：

ANNALS OF PLASTIC SURGERY | 1996年 / 37卷 / 02期

关键词：

D O I：

10.1097/00000637-199608000-00017

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Refinements in microsurgical techniques, plate fixation, and osseointegration have changed the conceptual approach to midface reconstruction, Free tissue transfer has emerged as the ideal method of reconstructing complex midfacial defects, Single-stage bony restoration of the palate and orbital rim using the folded fibular osteocutaneous free flap is described. The fibular free flap is our first choice for reconstructing complex midfacial defects. The thin, soft, pliable tissue is ideal for intraoral and palatal reconstructions. The bone can be tailored precisely to fit any desired shape, and forms a sturdy support for both orbital and dental prostheses, With a single flap, rapid and reliable restoration of midfacial appearance, orbital support, and palatal function can be achieved.

引用

页码：204 / 210

页数：7

共 35 条

[1] DONOR LEG MORBIDITY AND FUNCTION AFTER FIBULA FREE-FLAP MANDIBLE RECONSTRUCTION [J].

ANTHONY, JP ;

RAWNSLEY, JD ;

BENHAIM, P ;

RITTER, EF ;

SADOWSKY, SH ;

SINGER, MI .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1995, 96 (01) :146-152

[2] ENHANCING FIBULA FREE-FLAP SKIN ISLAND RELIABILITY AND VERSATILITY FOR MANDIBULAR RECONSTRUCTION [J].

ANTHONY, JP ;

RITTER, EF ;

YOUNG, DM ;

SINGER, MI .

ANNALS OF PLASTIC SURGERY, 1993, 31 (02) :106-111

[3] THE PECTORALIS MAJOR FOR SINGLE-STAGE RECONSTRUCTION OF THE DIFFICULT WOUNDS OF THE ORBIT AND PHARYNGOESOPHAGUS [J].

ARIYAN, S .

PLASTIC AND RECONSTRUCTIVE SURGERY, 1983, 72 (04) :468-477

[4] 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

[5] MAXILLO-FACIAL AND PALATAL RECONSTRUCTIONS WITH DELTOPECTORAL FLAP [J].

BAKAMJIAN, VY ;

POOLE, M .

BRITISH JOURNAL OF PLASTIC SURGERY, 1977, 30 (01) :17-37

[6] CLOSURE OF LARGE ORBITAL-MAXILLARY DEFECTS WITH FREE LATISSIMUS DORSI MYOCUTANEOUS FLAPS [J].

BAKER, SR .

HEAD & NECK SURGERY, 1984, 6 (04) :828-835

[7]

COLEMAN JJ, 1994, CLIN PLAST SURG, V21, P113

[8] TEMPORALIS MYOFASCIAL FLAP FOR MAXILLOFACIAL RECONSTRUCTION [J].

COLMENERO, C ;

MARTORELL, V ;

COLMENERO, B ;

SIERRA, I .

JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 1991, 49 (10) :1067-1073

[9]

FRODEL JL, 1993, PLAST RECONSTR SURG, V92, P449, DOI 10.1097/00006534-199309000-00010

[10] RECONSTRUCTION OF COMPLEX MAXILLECTOMY DEFECTS WITH THE SCAPULAR-FREE FLAP [J].

GRANICK, MS ;

RAMASASTRY, SS ;

NEWTON, ED ;

SOLOMON, MP ;

HANNA, DC ;

KALTMAN, S .

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, 1990, 12 (05) :377-385

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