Midface reconstruction with soft tissue and bone flaps Book Section
| Authors: | Samra, F.; Disa, J.; Matros, E. |
| Editors: | Gravvanis , A.; Kakagia, D. D.; Ramakrishnan, V. |
| Article/Chapter Title: | Midface reconstruction with soft tissue and bone flaps |
| Abstract: | Midface, or maxillary, reconstruction remains one of the most challenging domains within head and neck reconstruction. The maxilla, often visualized as a box with important functions on nearly every surface, is a geometrically and functionally complex structure. Superiorly, it supports the globe and orbital contents, and inferiorly, the palate and maxillary alveolus are critical for speech and oral intake. Medially lies the nasal vault and posteriorly the skull base. Ablation of this structure often leaves the reconstructive surgeon with multiple surgical problems to solve. The initial reconstructive consideration is if the defect is best served with a soft-tissue-only reconstruction, or if it necessitates an osseous reconstruction. Two different cases are presented in this chapter. The first is a patient who had a free vertical rectus myocutaneous flap with iliac bone grafting for left maxillary and orbital floor resection. The second is a patient who had a virtual-surgicalplanned multiple segment free fibula flap as well as iliac bone grafting for an extended left maxillary and orbital floor resection. The specific nature of each patient’s surgical defect is discussed with relevance to the different type of reconstruction. Both patients did well postoperatively with excellent functional and aesthetic outcomes. © Springer Nature Switzerland AG 2022. |
| Keywords: | free tissue transfer; maxillary reconstruction; midface reconstruction; iliac crest bone graft; osteocutaneous free flap; soft tissue free flap |
| Book Title: | Clinical Scenarios in Reconstructive Microsurgery: Strategy and Operative Techniques |
| ISBN: | 978-3-030-23705-9 |
| Publisher: | Springer |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2022-01-01 |
| Start Page: | 287 |
| End Page: | 302 |
| Language: | English |
| DOI: | 10.1007/978-3-030-23706-6_113 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book Chapter: 30 -- Source: Scopus |
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