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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
First experiences with simultaneous skeletal and soft tissue reconstruction of noma-related facial defects
Journal of Reconstructive Microsurgery, Volume 28, No. 2, Year 2012
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Description
Noma victims suffer from a three-dimensional facial soft-tissue loss. Some may also develop complex viscerocranial defects, due to acute osteitis, chronic exposure, or arrested skeletal growth. Reconstruction has mainly focused on soft tissue so far, whereas skeletal restoration was mostly avoided. After successful microvascular soft tissue free flap reconstruction, we now included skeletal restoration and mandibular ankylosis release into the initial step of complex noma surgery. One free rib graft and parascapular flap, one microvascular osteomyocutaneous flap from the subscapular system, and two sequential chimeric free flaps including vascularized bone were used as the initial steps for facial reconstruction. Ankylosis release could spare the temporomandibular joint. Complex noma reconstruction should include skeletal restoration. Avascular bone is acceptable in cases with complete vascularized graft coverage. Microsurgical chimeric flaps are preferable as they can reduce the number and complexity of secondary operations and provide viable, infection-resistant bone supporting facial growth. © 2012 by Thieme Medical Publishers, Inc.
Authors & Co-Authors
Giessler, Goetz A.
Germany, Ludwigshafen
Bg Trauma Center
Borsche, Andr
Ethiopia
Diakonie-krankenhaus
Lim, Paul K.
Ethiopia, Addis Ababa
Cure International Hospital
Schmidt, Andreas B.
Germany, Ludwigshafen
Bg Trauma Center
Cornelius, C. Peter
Germany, Munich
Ludwig-maximilians-universität München
Statistics
Citations: 7
Authors: 5
Affiliations: 4
Identifiers
Doi:
10.1055/s-0031-1284240
ISSN:
0743684X
e-ISSN:
10988947
Research Areas
Health System And Policy