Mandibular reconstruction in irradiated patients utilizing myosseous-cutaneous flaps
Myosseous-cutaneous flaps were used for mandibular reconstruction in 16 irradiated patients. Three of six sternomastoid-clavicle flaps failed (all in conjunction with a neck dissection), as did one of 10 pectoralis major-anterior-fifth rib flaps. One trapezius-scapular flap was used and it succeeded. We found the blood supply of the sternomastoid-clavicle flap too tenuous for use in conjunction with a neck dissection. The trapezius-scapular flap had too short an arc of rotation to be used for defects other than those in the horizontal ramus. In addition, this flap required a change of position and created an undesirable functional deformity. The pectoralis major-fifth rib flap, in contrast, could be used for a variety of defects, in conjunction with a neck dissection, and did not require a change of position during operation. We found it to be the most versatile and dependable of the flaps employed in this series.
- OSTI ID:
- 6847698
- Journal Information:
- Am. J. Surg.; (United States), Vol. 146:4
- Country of Publication:
- United States
- Language:
- English
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ORAL CAVITY
RADIATION INJURIES
PLASTIC SURGERY
RADIOTHERAPY
SIDE EFFECTS
PATIENTS
TRANSPLANTS
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
DIGESTIVE SYSTEM
INJURIES
MEDICINE
NUCLEAR MEDICINE
RADIATION EFFECTS
RADIOLOGY
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560151* - Radiation Effects on Animals- Man