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Microvascular flaps in head and neck reconstruction

✍ Scribed by Drs. Júlio Morais-Besteiro; Dr. Claudio R. Cernea; Luiz R. Dos Medina Santos; Lenine G. Brandão; Marcus C. Ferreira; Alberto R. Ferraz

Publisher
John Wiley and Sons
Year
1990
Tongue
English
Weight
962 KB
Volume
12
Category
Article
ISSN
1043-3074

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✦ Synopsis

Abstract

Twenty‐six patients with head and neck tumors were submitted to 27 microvascular reconstructive procedures. In 15, the mandible was reconstructed using the rib (4), iliac crest (7), and scapula (4). Nine patients underwent craniofacial reconstructions with the latissimus dorsi (5), rectus abdominis (2), greater omentum (2), and scapular (1) flaps. Two patients received a jejunum (1) and a stomach plus greater omentum (1) flaps for pharyngoesophageal reconstruction. Three illustrative cases, one from each group, are presented in detail. Good results were obtained in 22 patients (85%), with both functional and morphological rehabilitation. There were five flap losses (two in the same patient) due to thrombosis of the microvascular anastomoses. There was no operative mortality, and the average operative time was 11 hours. The good results observed in these very advanced cases show that there is a place for these complex procedures in the treatment of selected cases of head and neck tumors.

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