Oromandibular reconstruction using microvascularized bone flap: report of 1038 cases from a single institution

Lou, Cheok Man; Yang, Xin; Hu, Li; Hu, Yan; Loh, John Ser Pheng; Ji, Tong; Zhang, C.

doi:10.1016/j.ijom.2019.02.017

Cited by 23 publications

(22 citation statements)

References 16 publications

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“…Based on several perforators, the DCIA flap can include iliac crest bone, a segment of internal oblique muscle and even skin island. Thus, DCIA flap is suitable for reconstruction of mandibular defects of up to 10 cm in length as well as defects of floor of mouth and gingiva [16]. Due to no reliable anatomical distribution of perforators, the skin paddle offers limited options for external coverage [16,17].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, DCIA flap is suitable for reconstruction of mandibular defects of up to 10 cm in length as well as defects of floor of mouth and gingiva [16]. Due to no reliable anatomical distribution of perforators, the skin paddle offers limited options for external coverage [16,17]. Unfortunately, this flap is not only technically demanding to harvest with a short pedicle (4-7 cm in length), but also it may cause significant morbidities such as chronic pain, paresthesia, gait difficulties and weakness or even hernia of the abdominal wall [16,17].…”

Section: Discussionmentioning

confidence: 99%

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Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction

Tankersley

Martinez

Medina

2020

Case Reports in Plastic Surgery and Hand Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction

Tankersley

Martinez

Medina

2020

Case Reports in Plastic Surgery and Hand Surgery

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“…In addition, the quality and thickness of the bone of the iliac crest are higher and, in our experience, it is the best choice to reconstruct even the segmental defects of the mandible [37]. There are also differences in the length of the pedicle and on the morbidity of the donor site [38]. The dilemma of whether to surgically reconstruct or not immediately with free flaps derives from the risk of not obtaining a "wide" resection and therefore having to operate immediately, with the risk of having to sacrifice the flap totally or partially.…”

Section: Surgical Treatmentmentioning

confidence: 92%

Head and Neck Osteosarcoma—The Ongoing Challenge about Reconstruction and Dental Rehabilitation

Cassoni

Brauner

Pucci

et al. 2020

Cancers

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Head and Neck osteosarcoma is an uncommon disease. Hitherto, the treatment is surgical resection and survival is influenced by the presence of free margins. However, the dimension of the resection may represent a hurdle for an adequate Quality of Life (QOL). Maxillofacial district is a narrow space where the function, esthetics and patient’s relational skills fit together like the gears of a clock. The functional results depend on the type of reconstruction and prosthetic rehabilitation that are both important to guarantee a good aesthetic result and finally increase the patient’s self-esteem. This study aims to report our experience about head and neck (HN) osteosarcoma focusing the attention on reconstructive and dental-rehabilitative problems. It is a retrospective study all patients were surgically treated in our department. Subjects with histological diagnosis of HN osteosarcoma, treated between 2005 and 2017 were included. The demographic characteristics, surgical treatment, eventually secondary reconstruction and prosthetic rehabilitation, performed in the same department, have been collected. The QOL was assessed through the EORTC QLQ-H&N35 (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Head and Neck 35) questionnaire. Fifteen patients were enrolled, eight received a free flap microsurgical reconstruction. Dental rehabilitation was performed in five cases and a mobile prosthesis was always delivered. Eighteen implants were inserted in fibula bones for three patients; highly porous implants were used.

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“…For surgeons operating in LMICs, that do not have funding and access to the required equipment and training to facilitate independent microsurgical practice, treatment options are restricted to those used 50 years ago in countries that now perform regular free tissue transfer. For select advanced pathology, this may be the difference between amputation and lower limb salvage after trauma and sarcoma resection, or poorer functional outcomes following head and neck cancer reconstruction (10)(11)(12)(13)(14). Performing microsurgery in LMICs is challenging, even for experienced teams.…”

Section: Introductionmentioning

confidence: 99%

Protocol for a Systematic Review of Outcomes From Microsurgical Free Tissue Transfer Performed on Short-term Surgical Missions in Low-income and Middle-income Countries

Berker

Čebron

Bradley

et al. 2021

Preprint

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Background: In many units around the world, microsurgical free tissue transfer represents the gold standard for reconstruction of significant soft tissue defects following cancer, trauma or infection. However, many reconstructive units in low-income and middle-income countries (LMICs) do not yet have access to the resources, infrastructure or training required to perform any microsurgical procedures. Long-term international collaborations have been formed with annual short-term reconstructive missions conducting microsurgery. In the first instance, these provide reconstructive surgery to those who need it. In the longer-term, they offer an opportunity for teaching and the development of sustainable local services.Methods: A PRISMA-compliant systematic review and meta-analysis will be performed. A comprehensive, predetermined search strategy will be applied to the MEDLINE and Embase electronic databases from inception to December 2020. All clinical studies presenting sufficient data on free tissue transfer performed on short-term surgical missions (STSMs) in LMICs will be eligible for inclusion. The primary outcomes are rate of free flap failure, rate of emergency return to theatre for free flap salvage and successful salvage rate. The secondary outcomes include postoperative complications and any functional or patient reported outcome measures. Screening of studies, data extraction and assessments of study quality and bias will be conducted by two authors. Individual study quality will be assessed according to the Oxford Evidence-based Medicine Scales of Evidence 2, and risk of bias using either the ‘Revised Cochrane risk of bias tool for randomized trials’ (Rob2), or the ‘Risk of bias in non-randomized studies of interventions’ (ROBINS-I) tools. Overall strength of evidence will be assessed according to the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach.Discussion: To-date the outcomes of microsurgical procedures performed on STSMs to LMICs are largely unknown. Improved education, funding and allocation of resources are needed to support surgeons in LMICs to perform free tissue transfer. STSMs provide a vehicle for sustainable collaboration and training. Disseminating microsurgical skills could improve the care received by patients living with reconstructive pathology in LMICs, but this is poorly established. This study sets out a robust protocol for a systematic review designed to critically analyse outcomes. Systematic review registration: Submitted to PROSPERO (15/12/20 ID: 225613)

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Oromandibular reconstruction using microvascularized bone flap: report of 1038 cases from a single institution

Cited by 23 publications

References 16 publications

Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction

Use of cervicothoracic rotation flap and osteocutaneous radial forearm free flap for a complex multilayered cheek defect reconstruction

Head and Neck Osteosarcoma—The Ongoing Challenge about Reconstruction and Dental Rehabilitation

Protocol for a Systematic Review of Outcomes From Microsurgical Free Tissue Transfer Performed on Short-term Surgical Missions in Low-income and Middle-income Countries

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