The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component

The study objective is to analyze the results of the use of free osteomyofascial flaps in the reconstruction of combined post-resection facial defects with an intraoral component. Materials and methods. Fifty-three patients were operated by the proposed method. The muscle portions which were used w...

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Main Authors: A. S. Sharapo, V. Yu. Ivashkov, А. М. Mudunov, M. V. Bolotin, M. Bektemirov, A. E. Raportinova
Format: Article
Language:Russian
Published: ABV-press 2020-07-01
Series:Opuholi Golovy i Šei
Subjects:
Online Access:https://ogsh.abvpress.ru/jour/article/view/523
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spelling doaj-e6e64d62a1ae4c8397d161a7c98723a92021-07-29T08:14:13ZrusABV-pressOpuholi Golovy i Šei2222-14682411-46342020-07-01102222910.17650/2222-1468-2020-10-2-22-29389The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral componentA. S. Sharapo0V. Yu. Ivashkov1А. М. Mudunov2M. V. Bolotin3M. Bektemirov4A. E. Raportinova5A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaClinical Hospital “Medsi” in Botkinsky Dr.N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaI.M. Sechenov First Moscow State Medical University, Ministry of Health of RussiaThe study objective is to analyze the results of the use of free osteomyofascial flaps in the reconstruction of combined post-resection facial defects with an intraoral component. Materials and methods. Fifty-three patients were operated by the proposed method. The muscle portions which were used with free flaps were: m. flexor hallucis longus with the free fibula flap (n = 27), m. vastus lateralis with anterolateral thigh flap (n = 11), m. subscapularis with the scapula free flap (n = 15). An analysis of postoperative complications was performed, as well as an analysis of the timing of dental implantation. Results. The average hospital stay was 15 days. The main complications from the recipient area were: local inflammation in the reconstruction area – 2 (3.8 %) cases, hematoma on the neck – 2 (3.8 %), fistula formation – 1 (1.9 %), full flap necrosis was noted in 1 (3.7 %) case, hypertrophic growths of granulation tissue on the muscle portions of the flaps in 3 (5.7 %). The main complications from the donor zone: hematomas – 0 cases. In 2 (13.3 %) patients after using a chimeric scapular flap, lymphorrea up to 50–70 ml was noted. Dental implantation was performed in 4 (9.5 %) cases. There were no complications or difficulties in performing dental implantation. The average time taken to form the soft tissue contour in the area of implants after installing the gingiva formers in our study was 2.5 weeks, which is 2 weeks faster than using flaps that include a skin paddle. Conclusion. This reconstruction method could be used as a main for the plastic elimination of combined facial defects with an intraoral component.https://ogsh.abvpress.ru/jour/article/view/523osteomyofascial flapintraoral componentdental implantationreconstructive microsurgery of the face
collection DOAJ
language Russian
format Article
sources DOAJ
author A. S. Sharapo
V. Yu. Ivashkov
А. М. Mudunov
M. V. Bolotin
M. Bektemirov
A. E. Raportinova
spellingShingle A. S. Sharapo
V. Yu. Ivashkov
А. М. Mudunov
M. V. Bolotin
M. Bektemirov
A. E. Raportinova
The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
Opuholi Golovy i Šei
osteomyofascial flap
intraoral component
dental implantation
reconstructive microsurgery of the face
author_facet A. S. Sharapo
V. Yu. Ivashkov
А. М. Mudunov
M. V. Bolotin
M. Bektemirov
A. E. Raportinova
author_sort A. S. Sharapo
title The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
title_short The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
title_full The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
title_fullStr The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
title_full_unstemmed The results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
title_sort results of using free osteomyofascial flaps in the simultaneous reconstruction of combined post-resection facial defects with an intraoral component
publisher ABV-press
series Opuholi Golovy i Šei
issn 2222-1468
2411-4634
publishDate 2020-07-01
description The study objective is to analyze the results of the use of free osteomyofascial flaps in the reconstruction of combined post-resection facial defects with an intraoral component. Materials and methods. Fifty-three patients were operated by the proposed method. The muscle portions which were used with free flaps were: m. flexor hallucis longus with the free fibula flap (n = 27), m. vastus lateralis with anterolateral thigh flap (n = 11), m. subscapularis with the scapula free flap (n = 15). An analysis of postoperative complications was performed, as well as an analysis of the timing of dental implantation. Results. The average hospital stay was 15 days. The main complications from the recipient area were: local inflammation in the reconstruction area – 2 (3.8 %) cases, hematoma on the neck – 2 (3.8 %), fistula formation – 1 (1.9 %), full flap necrosis was noted in 1 (3.7 %) case, hypertrophic growths of granulation tissue on the muscle portions of the flaps in 3 (5.7 %). The main complications from the donor zone: hematomas – 0 cases. In 2 (13.3 %) patients after using a chimeric scapular flap, lymphorrea up to 50–70 ml was noted. Dental implantation was performed in 4 (9.5 %) cases. There were no complications or difficulties in performing dental implantation. The average time taken to form the soft tissue contour in the area of implants after installing the gingiva formers in our study was 2.5 weeks, which is 2 weeks faster than using flaps that include a skin paddle. Conclusion. This reconstruction method could be used as a main for the plastic elimination of combined facial defects with an intraoral component.
topic osteomyofascial flap
intraoral component
dental implantation
reconstructive microsurgery of the face
url https://ogsh.abvpress.ru/jour/article/view/523
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