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Brandtner, C; Bürger, H; Hachleitner, J; Gaggl, A.
The intraoral anastomosing technique in reconstructive surgery of the face - A consecutive case series of 70 patients.
J Craniomaxillofac Surg. 2015; 43(9):1763-1768 Doi: 10.1016/j.jcms.2015.07.017
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Co-Autor*innen der Med Uni Graz
Bürger Karl-Heinz
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Abstract:
New techniques in microvascular flap transfer result in new indications for reconstructive treatment of facial defects. In this study, the indications and success rate of an intraoral anastomosing technique in facial reconstruction were examined. Seventy patients with intraoral defects or central midface defects were reconstructed with the use of microvascular flaps. Anastomoses were performed by an intraoral anastomosing technique. Indications for the use of this technique, types of flaps, complications and problems were evaluated. Except for 5 reconstructions, all were performed to correct bone defect coverage of the jaws. All anatomising procedures worked without severe intraoperative problems. There was one total flap loss caused by venous congestion, and two partial losses not associated with the anastomosing technique. There were no other complications or problems. The main indications for the use of intraoral anastomosing techniques are alveolar ridge reconstruction in patients with defects not caused by a malignant tumour and central midface reconstruction in the case of short flap pedicle. The success rate of the intraoral anastomosing technique is similar to that of extraoral techniques reported in the literature. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Aged, 80 and over -
Alveolar Ridge Augmentation - methods
Anastomosis, Surgical - methods
Face - surgery
Female -
Free Tissue Flaps - blood supply
Humans -
Male -
Microvessels - surgery
Middle Aged -
Postoperative Complications -
Reconstructive Surgical Procedures - methods
Young Adult -

Find related publications in this database (Keywords)
Microvascular anastomosis
Face
Head and neck surgery
Intraoral reconstruction
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