Three-dimensional combined flaps for reconstruction of complex facial defects following cancer ablation.

Abstract:

:Instead of conventional multiple-paddle or folded free flaps, the authors introduce three types of free combined tissue transfers for cosmetic and functional restoration of massively large facial defects. Three cases reported here were repaired with combined flaps consisting of two or more tissues, such as combined free anterolateral thigh flaps and vascularized muscle or bone grafts. In cases with complex defects in the upper lateral face, facial dynamics were also reconstructed with a free vascularized innervated muscle graft. A complex hemifacial defect involving the orbita and nose can be easily reconstructed with free osteocutaneous flaps in two stages. For complex craniofacial defects, the concept of combined chimeric tissue transfers is most suitable. The ideal pedicle vessels for the combined flaps are considered to be those in the lateral circumflex femoral system, which is far from the head and neck regions, because flap elevation can proceed simultaneously with tumor resection.

journal_name

J Reconstr Microsurg

authors

Koshima I,Hosoda M,Moriguchi T,Ishii R,Orita Y,Yamamoto H

doi

10.1055/s-2007-1000221

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

73-80; discussion 80-1

issue

2

eissn

0743-684X

issn

1098-8947

journal_volume

13

pub_type

杂志文章
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