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Free microvascular bone flaps used for cavity reconstruction in the head and neck area

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Piotrowski S., Nałęcz D., Chmielecka J., Gaszak B., Krakowczyk Ł.

Polish Journal of Otolaryngology

2023

vol. 77

issue 3

26-35

Aim: The authors present the possibilities of reconstructive surgery using free microvascular bone-containing flaps in the treatment of defects in the head and neck area. The defects resulted from the resection of head and neck tumours, congenital disorders, and radiation damage. The authors discuss the difficulties that may arise during the postoperative period, including the maintenance of the flap viability, the healing of the donor site and systemic problems. Material and methods: The study reports 33 reconstruction surgeries in 31 patients with different flaps and briefly describes their advantages and technical difficulties that may occur during the microvascular anastomoses. Results: The authors emphasise the importance of proper eligibility determination for the surgery as well as the need to discuss the course of the surgery and recovery and other possible treatment options with patients and their families. The complications and their management were also described. The authors discuss in detail three cases in whom different types of reconstruction procedures were performed and draw attention to the importance of postoperative care, consisting of the constant monitoring of flap viability by a qualified staff of the Otolaryngology Department and appropriate anticoagulant therapy.

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1 Polish Journal of Otolaryngology

1 2023

1 Chmielecka J.

1 Gaszak B.

1 Krakowczyk Ł.

1 Nałęcz D.

1 Piotrowski S.

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Free microvascular bone flaps used for cavity reconstruction in the head and neck area