1992
Extensive Defects of the Sino-Orbital Region
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Cited by 13 publications
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“…There is still some controversy as to the timing of the reconstruction, related mainly to the concern that immediate reconstruction might mask recurrent disease; however, immediate reconstruction appears to be more suitable, the microvascular dissection is simpler, and significant psychologic and emotional distress are avoided. [18][19][20] Most authors now agree that patients with larger and more aggressive tumors are capable of tolerating resective procedures, even contiguous to vital structures that could require coverage with well-vascularized tissue, as in a free-tissue transfer, 21 especially in the presence of a previously irradiated field. 22 Also, in recurrent tumors, when previous resections promote scarring and obliteration of the vascular supply, free-tissue transfer minimizes the possibilities of postoperative complications.…”
Section: Discussionmentioning
confidence: 99%
“…There is still some controversy as to the timing of the reconstruction, related mainly to the concern that immediate reconstruction might mask recurrent disease; however, immediate reconstruction appears to be more suitable, the microvascular dissection is simpler, and significant psychologic and emotional distress are avoided. [18][19][20] Most authors now agree that patients with larger and more aggressive tumors are capable of tolerating resective procedures, even contiguous to vital structures that could require coverage with well-vascularized tissue, as in a free-tissue transfer, 21 especially in the presence of a previously irradiated field. 22 Also, in recurrent tumors, when previous resections promote scarring and obliteration of the vascular supply, free-tissue transfer minimizes the possibilities of postoperative complications.…”
Section: Discussionmentioning
confidence: 99%
