Your browser doesn't support javascript.
loading
Surgical management of severe osteoradionecrosis of the mandibular bone by using double free flap reconstruction.
Rommel, Niklas; Kesting, Marco Rainer; Rohleder, Nils Hagen; Wolff, Klaus-Dietrich; Weitz, Jochen.
Afiliación
  • Rommel N; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. K.-D. Wolff), Technische Universität München, Ismaninger Str. 22, D-81675, Munich, Germany.
  • Kesting MR; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. K.-D. Wolff), Technische Universität München, Ismaninger Str. 22, D-81675, Munich, Germany.
  • Rohleder NH; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. K.-D. Wolff), Technische Universität München, Ismaninger Str. 22, D-81675, Munich, Germany.
  • Wolff KD; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. K.-D. Wolff), Technische Universität München, Ismaninger Str. 22, D-81675, Munich, Germany.
  • Weitz J; Department of Oral and Maxillofacial Surgery (Head: Prof. Dr. Dr. K.-D. Wolff), Technische Universität München, Ismaninger Str. 22, D-81675, Munich, Germany. Electronic address: jochen.weitz@tum.de.
J Craniomaxillofac Surg ; 46(1): 148-154, 2018 Jan.
Article en En | MEDLINE | ID: mdl-29174551
PURPOSE: Osteoradionecrosis (ORN) of the jaws represents one of the most severe complications after primary or adjuvant radiation therapy (RT) of large head and neck tumors. In advanced ORN cases, surgical management is generally considered the therapy of choice. However, in several severe ORN patients with extensive bone and soft tissue defects, functional and aesthetic reconstruction represents a huge challenge for any surgeon, with an increased risk of post-operative wound healing disorders. Our aim here was to perform a double free flap technique as a therapeutic option in this difficult patient collective and to evaluate the post-operative outcome. MATERIALS AND METHODS: 15 patients with advanced and severe ORN undergoing mandibular and soft tissue reconstruction with a double free flap were retrospectively reviewed. In one single operation involving a three-team approach, an obligatory free fibular flap (FFF) was freely combined with another free flap according to the desired features: anterolateral thigh (ALT) or vastus lateralis flap (VLF), radial forearm flap (RFF) and latissimus dorsi flap (LDF). RESULTS: We found sufficient wound healing in the head and neck region in all patients with no need for any additional surgical intervention. The overall flap success rate was 93.3%, although three revisions of anastomosis were necessary. Furthermore, prolonged stay on the intensive care unit (ICU) and extended hospitalisation were avoided. CONCLUSION: The double free flap technique with an obligatory FFF provides a suitable surgical solution for the treatment of patients with severe ORN of the mandibular bone for which other conservative or surgical therapy strategies have reached their limits.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteorradionecrosis / Enfermedades Mandibulares / Colgajos Tisulares Libres Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteorradionecrosis / Enfermedades Mandibulares / Colgajos Tisulares Libres Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Craniomaxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido