Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics · 2009
Palatomaxillary reconstruction with titanium mesh and radial forearm flap.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sun Guowen, Yang Xudong, Tang Enyi, Wen Jianmin, Lu Mingxing, Hu Qingang
Аннотация
OBJECTIVE: The purpose of this study was to assess the treatment and prognosis of the palatomaxillary reconstruction with titanium mesh and the free radial forearm flap.
STUDY DESIGN: This is a retrospective study of 19 patients with palatomaxillary defects who underwent immediate reconstruction using titanium mesh and a radial forearm flap during the 4-year period from 2004 to 2008. Intraoperatively, the titanium mesh was fixed to the residual bones for the reconstruction of hard-tissue defect after the tumor resection; then the free radial forearm flap was harvested to repair the soft-tissue defect, serving as the intraoral lining and titanium mesh covering.
RESULTS: Postoperative esthetic appearance and function were followed-up. All of the patients achieved a satisfactory facial appearance. The speech assessment was good, and the oronasal reflux did not occur in all patients. Only 3 patients had titanium mesh exposure during the follow-up period.
CONCLUSION: The free radial forearm flap with folded titanium mesh is a reliable option for reconstruction of palatomaxillary defects. It is highly effective for swallowing and speech rehabilitation as well as esthetic reconstruction.
STUDY DESIGN: This is a retrospective study of 19 patients with palatomaxillary defects who underwent immediate reconstruction using titanium mesh and a radial forearm flap during the 4-year period from 2004 to 2008. Intraoperatively, the titanium mesh was fixed to the residual bones for the reconstruction of hard-tissue defect after the tumor resection; then the free radial forearm flap was harvested to repair the soft-tissue defect, serving as the intraoral lining and titanium mesh covering.
RESULTS: Postoperative esthetic appearance and function were followed-up. All of the patients achieved a satisfactory facial appearance. The speech assessment was good, and the oronasal reflux did not occur in all patients. Only 3 patients had titanium mesh exposure during the follow-up period.
CONCLUSION: The free radial forearm flap with folded titanium mesh is a reliable option for reconstruction of palatomaxillary defects. It is highly effective for swallowing and speech rehabilitation as well as esthetic reconstruction.
Предметные рубрики MeSH
AdolescentAdultAgedBone TransplantationCarcinomaDeglutitionEstheticsFemaleFollow-Up StudiesHumansMaleMaxillaMaxillary NeoplasmsMicrosurgeryMiddle AgedPalatal NeoplasmsPalateRadiotherapy, AdjuvantPlastic Surgery ProceduresRetrospective StudiesSkin TransplantationSpeechSurgical FlapsSurgical MeshSurgical Wound DehiscenceTitaniumTreatment OutcomeYoung Adult