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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Modern reconstruction techniques for oral and pharyngeal defects after tumor resection
European Archives of Oto-Rhino-Laryngology, Volume 265, No. 1, Year 2008
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Description
Several techniques have been developed to reconstruct oral and pharyngeal defects following surgery, in order to restore function and cosmesis. These are primary closure, skin grafts, local transposition of skin, mucosa and/or muscle, regional flaps and free vascularized flaps. Because of the 'bulky', pedicled nature and problems with the donor area of locoregional flaps, and consequently frequently unsatisfactory functional results, free vascularized flaps have gained popularity during the last decade. The authors review the current options available to give physicians, who are not experienced in the field of reconstruction in the head and neck, an impression of the range of techniques available for reconstruction of oral and pharyngeal defects following tumor resection. For reconstruction of oral cavity and pharyngeal defects, fasciocutaneous (e.g. radial forearm and anterolateral thigh flaps) and myocutaneous free flaps (e.g. rectus abdominis and latissimus dorsi) have proven to be very reliable. Free vascularized osteocutaneous flaps (e.g. fibula and iliac crest) permit reconstructive options for bony defects of the mandible or maxilla that can be adapted to a variety of defects. Depending on the site, size and involved tissues of the surgical defect and patient factors, a variety of reconstructive options are available. For both soft tissue and bony defects of the upper aerodigestive tract, microvascular free flaps provide good functional outcomes. © 2007 Springer-Verlag.
Authors & Co-Authors
de Bree, Remco R.
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Rinaldo, Alessandra
Italy, Udine
Policlinico Universitario, Udine
Genden, Eric M.
United States, New York
The Mount Sinai Medical Center
Suárez, Carlos
Spain, Oviedo
Hospital Universitario Central de Asturias
Spain, Oviedo
Instituto Universitario de Oncologia Del Principado de Asturias
Rodrigo, Juan Pablo
Spain, Oviedo
Hospital Universitario Central de Asturias
Spain, Oviedo
Instituto Universitario de Oncologia Del Principado de Asturias
Fagan, Johannes Jacobus
South Africa, Cape Town
Faculty of Health Sciences
Kowalski, Luiz Paulo
Brazil, Sao Paulo
A.c.camargo Cancer Center
Ferlito, Alfio
Italy, Udine
Policlinico Universitario, Udine
Leemans, C. René
Netherlands, Amsterdam
Amsterdam Umc - Vrije Universiteit Amsterdam
Statistics
Citations: 9
Authors: 9
Affiliations: 7
Identifiers
Doi:
10.1007/s00405-007-0413-y
ISSN:
09374477
Research Areas
Cancer
Health System And Policy