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2010 | 82 | 12 | 666-676
Article title

The Use of Double Independent Free Flaps for Tissue Reconstruction After Extensive Head and Neck Tumors Resection

Content
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Languages of publication
EN
Abstracts
EN
Malignant tumors of head and neck regions usually need wide radical resections and may cause significant functional and aesthetic deficits. When a surgeon has to deal with extensive 3-D defect in lower or middle face region, double or multiple free flaps can be used.The aim of the study was to present own methods modifications and results of double free flaps techniques in patients with extensive defects of head and neck region. The authors present quality of life evaluation related to different flaps reconstructions.Material and methods. Clinical material consists of 33 patients with locally advanced cancer of lower or middle face region, who underwent surgical treatment in Departmant of Surgical and Reconstructive Surgery, Cancer Center Maria Skłodowska-Curie Instytute, Gliwice, Poland. In all patients double free flaps were chosen.Results. Whole group good functional and aesthetic results have been achieved. The QOL analysis show that the use of double flap in middle of lower face reconstruction gives generally very good results.Conclusions. The use of double free flaps after extensive resections of head and neck tumors is an efficient solution. The above-mentioned technique enables to reconstruct several different anatomical structures, restore optimal functioning, and assure a satisfactory psychosocial effect.
Publisher
Year
Volume
82
Issue
12
Pages
666-676
Physical description
Dates
published
1 - 12 - 2010
online
23 - 2 - 2011
References
  • Posch NA, Mureau MA, Dumans AG et al.: Functional and aesthetic outcome and survival after double free flap reconstruction in advanced head and neck cancer patients. Plast Reconstr Surg 2007; 120(1): 124-29.
  • Wei FC, Demirkan F, Chen HC et al.: Double free flaps in reconstruction of extensive composite mandibular defects in head and neck cancer. Plast Reconstr Surg 1999; 103(1): 39-47.
  • Gabr E, Kobayashi MR, Salibian AH et al.: Mandibular reconstruction: are two flaps better than one? Ann Plast Surg 2004; 52(1): 31-35.
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  • Boyd JB, Rosen I, Rotstein L et al.: The iliac crest and the radial forearm flap in vascularized oromandibular reconstruction. Am J Surg 1990; 159(3): 301-08.
  • Urken ML, Weinberg H, Vickery C et al.: The combined sensate radical forearm and iliac crest free flaps for reconstruction of significant glossectomy-mandibulectomy defects. Laryngoscope 1992; 102(5): 543-58.
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  • Maciejewski A, Szymczyk C, Wierzgoń J: Zastosowanie zmodyfikowanych, mikronaczyniowych płatów wolnych w rekonstrukcjach po rozległych, złożonych resekcjach nowotworów głowy i szyi - propozycja algorytmu wyboru technik odtwórczych. Pol Przegl Chir 2006; 78: 1350-60.
  • Maciejewski A, Szymczyk C, Wierzgoń J i wsp.: Techniki mikrochirurgiczne w rekonstrukcji poresekcyjnych ubytków żuchwy - propozycja algorytmu. Czas Stomat 2005; LVIII, 7.
Document Type
Publication order reference
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0102-1
Identifiers
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