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Latissimus dorsi-scapula free flap for reconstruction of defects following radical maxillectomy with orbital exenterationKošutić, Damir ...A total of 21 patients with latissimus dorsi-scapula free flap reconstruction immediately following radical maxillectomy together with orbital exenteration are presented. Orbital exenteration was ... performed in all patients due to tumour invasion at the time of diagnosis. There was no total flap failure. Two tissue components subdivided into separate flap units with individual vascular pedicles linked by a single vascular source provide an ideal reconstructive solution for massive defects of the mid-face and orbit. Separate arcs of rotation of each flap unit permit greater mobility necessary for complex three-dimensional reconstruction. A vertically positioned angle of the scapula enables simultaneous reconstruction of the malar eminence and alveolar ridge whereas spontaneous intraoral epithelialisation of the latissimus dorsi muscle requires no additional procedure. For these reasons, in our opinion, combined latissimus dorsi-scapula free flap should be considered the first choice in reconstruction of defects following total maxillectomy with orbital exenteration.Source: Journal of plastic, reconstructive & aesthetic surgery. - ISSN 1748-6815 (vol. 61, no. 6, 2008, str. 620-627)Type of material - article, component part ; adult, seriousPublish date - 2008Language - englishCOBISS.SI-ID - 2979391
Author
Košutić, Damir |
Uglešić, Vedran |
Knezevic, Predrag |
Milenovic, Aleksandar |
Virag, Mišo
Topics
Maxilla |
pathology |
Čeljust |
Patologija |
Maxilla |
surgery |
Čeljust |
Kirurgija |
Maxillary Neoplasms |
surgery |
Čeljust, novotvorbe |
Kirurgija |
Surgical Flaps |
Kirurški režnji |
Reconstructive Surgical Procedures |
methods |
Rekonstruktivni kirurški postopki |
Metode
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source: Journal of plastic, reconstructive & aesthetic surgery. - ISSN 1748-6815 (vol. 61, no. 6, 2008, str. 620-627)
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Košutić, Damir | 30249 |
Uglešić, Vedran | ![]() |
Knezevic, Predrag | ![]() |
Milenovic, Aleksandar | ![]() |
Virag, Mišo | ![]() |
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