Reconstruction of the Face Following Cancer Ablation

Garajei, Ata; Arabkheradmand, Ali; KalantarMotamedi, Mohammad Hosein; Pazoki, Alex; Rashad, Ashkan

doi:10.5772/59746

Cited by 4 publications

(7 citation statements)

References 127 publications

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“…Their disadvantages include limited amount of bone for grafting and limited maneuverability of the bone. 1 flap itself have a different type with graft which have its own blood supply from the donor site, compared with graft which relies on growth of new blood vessel from recepient site.…”

Section: Discussionmentioning

confidence: 99%

“…The clavicle that is harvested must include its medial portion and at least two thirds of the lateral clavicular body. 1 Once the sternocleidomastoid muscle is dissected, preserving the clavicular attachment, the thyrocervical trunk, its blood supply, is identified and transected. The superior thyroid trunk is preserved superiorly, as is the spinal accessory nerve.…”

Section: Discussionmentioning

confidence: 99%

“…Mandibular tumor is a common tumor found in head and neck disorder. [1][2][3][4] Mandibular tumor may be odontogenic or nonodontogenic. 4,5 Odontogenic tumor is normally classified by their presumed of origin, being epithelial, mesenchymal, or mixed lesion.…”

Section: Introductionmentioning

confidence: 99%

“…It has the blood supply cut and then reattached micro-surgically to a new blood supply at the recipient site. [1][2][3][4] In this case, we use regional sternocleiodomastoidclavicle myoosseus pedicle flap to our patient with post traumatic plate displacement post resection and reconstruction of ameloblastoma.…”

Section: Introductionmentioning

confidence: 99%

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Sternocleidomastoid-Clavicle Myoosseus Flap in Patient with Plate Displacement Post Resection and Reconstruction of Ameloblastoma

Natawidjaja

Setiawan

2018

JBN

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Background: ameloblastoma is a common tumor found in head and neck disorder. The definitive treatment include resection of tumor and reconstruction for filling the large defect which left after tumor resection. The reconstruction option which can be done is flap method. In this case, we used sternocleidomastoid-clavicle myoosseus flap in our patient with post traumatic plate displacement post resection and reconstruction of ameloblastoma. Case: a 22-year-old woman presented with unstability of jaw after hitting her chin to the table since 3 days prior to admission. On 2011, she had history of ameloblastoma which got resected and reconstructed with fibular graft and plate in the same year. While the plate seemed to be broken, she was managed with plate removal and reconstruct with sternocleidomastoid-clavicle myoosseus flap. Post operation, patient managed with gradual diet from liquid to solid. Observation Post Operation Day (POD) 3, flap is vital. Patient is discharged on POD 7 and visit as outpatient every 3-5 days until POD 14. Finally, we remove the suture, operation scar is good, and the flap is vital during one year follow up. Conclusion: sternocleidomastoid-clavicle myoosseus flap is practical and safe procedure, which can be used as alternative option in mandible reconstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sternocleidomastoid-Clavicle Myoosseus Flap in Patient with Plate Displacement Post Resection and Reconstruction of Ameloblastoma

Natawidjaja

Setiawan

2018

JBN

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“…Facial reconstruction is applied to replace and restore hard and soft tissues, allowing the patient to overcome the trauma and return and re-adapt to society. Moreover, it is often required to recreate the original function of lost organs and structures [ 4 ]. Among the most common causes, the restoration of normal deglutition with pharyngeal and tongue components, providing the patency and airway support after a tracheotomy, and the reconstruction of the general movement of the neck and head region might be enumerated [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

A Composite Membrane System with Gold Nanoparticles, Hydroxyapatite, and Fullerenol for Dual Interaction for Biomedical Purposes

et al. 2021

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Background: Wound dressing plays a vital role in post-operative aftercare. There is the necessity to develop dressings for application on the border of soft and hard tissue. This study aimed to develop multifunctional polyelectrolyte layers enhanced by hydroxyapatite nanoparticles, gold nanoparticles (AuNPs), and/or fullerenol nanocomposites to achieve a wound dressing that could be applied on the bone-skin interface. Methods: Constructed shells were examined using TEM, STEM, and EDX techniques. The human osteoblasts or fibroblasts were immobilized within the shells. The systems morphology was assessed using SEM. The functioning of cells was determined by flow cytomery. Moreover, the internalization of AuNPs was assessed. Results: Involvement of fullerenol and/or hydroxyapatite nanoparticles influenced the immobilized cell systems morphology. Membranes with fullerenol and hydroxyapatite nanoparticles were observed to block the internalization of AuNPs by immobilized hFOB cells. Conclusions: The designed bilayer membranes incorporating fullerenol, and bacteriostatic elements, prevented the internalization of AuNPs by hFOB cells and ensured the proper counts and morphology of eukaryotic cells. The developed material can be recommended for dressings at the bone-skin interface.

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Modified Technique of Pectoralis Major Myocutaneous Flap Inset for Buccal Mucosa Reconstruction

Kalyanimath

Shivalingappa²,

Mohankumar³

et al. 2022

WJPS

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BACKGROUNDConventional technique of flap inset in buccal mucosa reconstruction is by direct suturing of cutaneous margin of Pectoralis Major Myocutaneous (PMMC) flap to hard and soft palate mucosa and margin of floor of mouth with simple interrupted sutures. We have done a prospective study of the efficacy of anchoring the upper margin of PMMC flap to the hard palate by a modified method in reconstruction of buccal mucosa defects following tumour excision. This is to prevent disruption of suture line from the mucoperiosteum of hard palate and resultant oro-cutaneous fistula. METHODSThis hospital-based prospective study was carried out in the Department of Plastic Surgery at Bangalore, India for a period of 18 months (2015)(2016)(2017). Patients (N=48) with buccal mucosa defects requiring reconstruction with PMMC flap either with conventional (n=24) or modified method (n=24) following tumour excision were included. Clinico-demographic profile of the patients including age, gender, size of defect, staging of illness, site and type of reconstruction, disruption of suture margin in the hard palate, development of oro-cutaneous fistula (OCF), day of starting oral feeds, removal of Ryle's tube and post-operative average length of stay in the hospital were recorded. RESULTSDisruption of suture line in hard palate and Oro-cutaneous fistula were statistically significant in study group in both the variables (P-0.033, P-0.033). The median days on which patients were started with oral clear liquids and removal of Ryle's tube were also statistically significant between study and control groups. Post-operative average length of hospital stay which is the outcome of favourable results in the study group was found to be statistically significant (P-0.021) between the groups. CONCLUSIONOverall, modified technique of anchorage of PMMC flap can be considered as a reliable technique in buccal mucosa reconstruction because of its stability, lower complication rates and shorter length of hospital stay.

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Reconstruction of the Face Following Cancer Ablation

Cited by 4 publications

References 127 publications

Sternocleidomastoid-Clavicle Myoosseus Flap in Patient with Plate Displacement Post Resection and Reconstruction of Ameloblastoma

Sternocleidomastoid-Clavicle Myoosseus Flap in Patient with Plate Displacement Post Resection and Reconstruction of Ameloblastoma

A Composite Membrane System with Gold Nanoparticles, Hydroxyapatite, and Fullerenol for Dual Interaction for Biomedical Purposes

Modified Technique of Pectoralis Major Myocutaneous Flap Inset for Buccal Mucosa Reconstruction

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