History, Innovation, Pearls, and Pitfalls in Complex Midface Reconstruction

McCrary, Hilary C.; Seim, Nolan B.; Old, Matthew

doi:10.1016/j.otc.2023.04.010

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…32 Although each flap has its own scope of application, advantages and disadvantages, they all provide options for maxillary bone reconstruction. 5 In this study, the methods using bone flaps to reconstruct anterior maxillary defects were systematically summarized. We introduced our experience in detail, particularly focusing on the design of the vascular pedicle path, which has a certain reference value and has not been mentioned in previous studies.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 Autogenous tissue grafts have been widely used in recent years, making vascularized bone flaps a practical option for repairing maxillary defects. 4,5 However, anterior Xiao-Feng Shan and Zhi-Gang Cai contributed equally to this work and should be considered as co-corresponding author. maxillary bone flap reconstruction is a challenging technique.…”

Section: Introductionmentioning

confidence: 99%

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Reconstruction of the anterior maxillary defect using a vascularized bone flap with residual teeth in the posterior maxilla

Li,

Kang,

Zhang

et al. 2023

Head & Neck

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BackgroundMicrosurgical bone reconstruction is challenging in cases of anterior maxillary defects because of the presence of residual teeth. The study analyzed the method and feasibility of using vascularized bone flaps to reconstruct anterior maxillary defects.MethodsWe retrospectively analyzed 15 patients treated at the Department of Oral and Maxillofacial Surgery, Peking University School, and Hospital of Stomatology between November 2017 and January 2023.ResultsA total of 14 patients were successfully reconstructed using the digital technique: 6 deep circumflex iliac artery (DCIA) flaps and 8 fibular free flaps. Palatal and buccal pedicle paths were used in 4 and 10 cases, respectively, for vascular anastomosis. The implant coverage rates of the DCIA and fibular free flaps were 87.2% and 92.6%, respectively (p > 0.05).ConclusionAnterior maxillary defects reconstructed with the DCIA and fibular free flaps are reliable methods. Furthermore, the palatal and buccal paths are recommended for vascular anastomosis.

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Section: Discussionmentioning

confidence: 99%