Reconstruction of large performated maxillofacial defect with immediated revascularized flap
Tang, Y.S.; Qiu, W.L.; Lin, G.C.; Liu, S.X.; Yuan, W.H.; Zhang, Z.Y.
Shanghai Kou Qiang Yi Xue 2(3): 125-127
1993
ISSN/ISBN: 1006-7248 PMID: 15159817 Document Number: 409180
Patients with large perforated maxillofacial defects resulting from combined craniomaxillofacial resection or extended extra cranio-maxillofacial resection due to malignances in this region had been reconstructed with large revascularized myocutaneous flap or combined pedicled myocutaneous flap with revascularized flap.Since January,1981,a total of 29 flaps was used,of which 28 flaps survived successfuly,whereas one free forearm flap being failed to survive due to venous embolization was replaced with pedicled forehead flap.The results in postoperative appearance and rehabilitation of physiological function were relatively satisfactory.Finally,selection of flap and method of reconstruction were introduced and experiences on immediate reconstruction after malignance resection reported.