2017
DOI: 10.1097/gox.0000000000001212
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Reconstruction of Through-and-through Oromandibular Defect: Comparison of Four Different Techniques

Abstract: Background:Through-and-through oromandibular defects originate from surgical intervention of tumors of the oral cavity involving external skin, soft tissue, bone, and oral lining. Reconstruction of such composite defects is primarily achieved by 4 methods using distinct flaps in Chang Gung Memorial Hospital, including a single anterolateral thigh (ALT) flap, a single fibula flap, an osteomyocutaneous peroneal artery-based combined flap, and a combination of a fibular flap and an ALT flap, also known as a doubl… Show more

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Cited by 8 publications
(9 citation statements)
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“…Surgical complications ranged from 40% to 60%, along with a 11% to 12% total flap failure rate 11–13 . The large amount of defect after the removal of soft tissues may subsequently lead to seroma and hematoma, both of which increase the risk of soft tissue infection and plate exposure 4 . Through-and-through COMDs were thought to be associated with poor deglutition and speech and facial contour after osseous/osteocutaneous flap reconstruction 14 .…”
Section: Discussionmentioning
confidence: 99%
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“…Surgical complications ranged from 40% to 60%, along with a 11% to 12% total flap failure rate 11–13 . The large amount of defect after the removal of soft tissues may subsequently lead to seroma and hematoma, both of which increase the risk of soft tissue infection and plate exposure 4 . Through-and-through COMDs were thought to be associated with poor deglutition and speech and facial contour after osseous/osteocutaneous flap reconstruction 14 .…”
Section: Discussionmentioning
confidence: 99%
“…[11][12][13] The large amount of defect after the removal of soft tissues may subsequently lead to seroma and hematoma, both of which increase the risk of soft tissue infection and plate exposure. 4 Through-and-through COMDs were thought to be associated with poor deglutition and speech and facial contour after osseous/osteocutaneous flap reconstruction. 14 Approximately one-third of patients reconstructed using a single FFF in reconstructing through-and-through COMD had encountered the necessary of delay pectoralis major myocutaneous flaps due to partial flap necrosis or loss.…”
Section: Discussionmentioning
confidence: 99%
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“…2,3 FFOCF become superior among the options as it provides reliable and sufficient amount of skin and soft tissue for coverage and better quality tubular bone for use of osseointegrated dental implant. 4 Now it has been gold standard after introduction of several modifications in the flap including double barrel flap, chimeric flap, double flap and combined flap. [4][5][6] FFOCF is technically complex but believed to be reliable even to start with and has a comprehensive surgical techniques and learning curve.…”
mentioning
confidence: 99%
“…4 Now it has been gold standard after introduction of several modifications in the flap including double barrel flap, chimeric flap, double flap and combined flap. [4][5][6] FFOCF is technically complex but believed to be reliable even to start with and has a comprehensive surgical techniques and learning curve. We are presenting here our experience of FFOCF reconstruction of 56 cases over the last 3 years.…”
mentioning
confidence: 99%