Limits...
Reconstructive Surgery for Head and Neck Cancer Patients.

Hanasono MM - Adv Med (2014)

Bottom Line: The field of head and neck surgery has gone through numerous changes in the past two decades.More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance.The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.

View Article: PubMed Central - PubMed

Affiliation: The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA.

ABSTRACT
The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.

No MeSH data available.


Related in: MedlinePlus

Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC4590972&req=5

fig2: Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.

Mentions: After the resection is complete, a titanium reconstruction plate is fashioned based on the defect in the approximate shape of the Greek letter “omega” in the transverse plane (Figure 2). The configuration of the reconstruction plate is such that it simulates the width and projection of the native maxilla. The lateral portions of the reconstruction plate must be long enough to allow two or three screw fixations to the remaining zygomatic bones laterally.


Reconstructive Surgery for Head and Neck Cancer Patients.

Hanasono MM - Adv Med (2014)

Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4590972&req=5

fig2: Anterior bilateral palatomaxillary defect following tumor removal (a). A fibula osteocutaneous free flap is osteotomized then rigidly fixated to resemble the Greek letter “omega” in the transverse plane (b). Flap inset (c). Postoperative appearance (d). The skin paddle is used to close the palatal defect, while the bone restores mid-facial height, width, and projection. Osseointegrated implants have been placed.
Mentions: After the resection is complete, a titanium reconstruction plate is fashioned based on the defect in the approximate shape of the Greek letter “omega” in the transverse plane (Figure 2). The configuration of the reconstruction plate is such that it simulates the width and projection of the native maxilla. The lateral portions of the reconstruction plate must be long enough to allow two or three screw fixations to the remaining zygomatic bones laterally.

Bottom Line: The field of head and neck surgery has gone through numerous changes in the past two decades.More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance.The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.

View Article: PubMed Central - PubMed

Affiliation: The University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 443, Houston, TX 77030, USA.

ABSTRACT
The field of head and neck surgery has gone through numerous changes in the past two decades. Microvascular free flap reconstructions largely replaced other techniques. More importantly, there has been a paradigm shift toward seeking not only to achieve reliable wound closure to protect vital structures, but also to reestablish normal function and appearance. The present paper will present an algorithmic approach to head and neck reconstruction of various subsites, using an evidence-based approach wherever possible.

No MeSH data available.


Related in: MedlinePlus