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Intraoral anastomosis in maxillary microvascular reconstruction after oncological excision.
Bueno de Vicente, A; Almeida, F; Nuñez, J A; Picon, M; Acero, J.
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  • Bueno de Vicente A; Department of Oral and Maxillofacial Surgery, University Hospital Ramon y Cajal, University of Alcalá, Madrid, Spain. Electronic address: angela.bueno@salud.madrid.org.
  • Almeida F; Department of Oral and Maxillofacial Surgery, University Hospital Ramon y Cajal, University of Alcalá, Madrid, Spain.
  • Nuñez JA; Department of Oral and Maxillofacial Surgery, University Hospital Ramon y Cajal, University of Alcalá, Madrid, Spain.
  • Picon M; Department of Oral and Maxillofacial Surgery, University Hospital Ramon y Cajal, University of Alcalá, Madrid, Spain.
  • Acero J; Department of Oral and Maxillofacial Surgery, University Hospital Ramon y Cajal, University of Alcalá, Madrid, Spain.
Int J Oral Maxillofac Surg ; 50(9): 1161-1167, 2021 Sep.
Article en En | MEDLINE | ID: mdl-33618968
Microvascular anastomosis using an intraoral approach can avoid unnecessary external incisions thus improving patient satisfaction. Furthermore, in case of short pedicle flaps, the lack of proximity of the recipient vessels can be a problem in microvascular reconstruction of the midface. We present our experience in six patients treated for tumours affecting the midface and reconstructed with microvascular flaps through anastomosis to the intraoral aspect of the facial vessels, with the aim of reviewing the use of this technique. Our results showed that intraoral anastomosis is a feasible technique that can be used in the reconstruction after tumours resection, avoiding additional external incisions in patients with no previous cervicotomy incisions. In two cases, a vein graft was interposed to perform the intraoral arterial anastomosis in a tension-free situation without increasing morbidity. The technical features and advantages of intraoral anastomosis were reviewed.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres Límite: Humans Idioma: En Revista: Int J Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Dinamarca
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres Límite: Humans Idioma: En Revista: Int J Oral Maxillofac Surg Asunto de la revista: ODONTOLOGIA Año: 2021 Tipo del documento: Article Pais de publicación: Dinamarca