RESUMO
The paramedian forehead flap (PMFF) is a versatile flap with a robust vascular supply that is well suited for reconstruction of complex or large nasal defects. Although a 2-stage technique is most common, a single-stage procedure involving tunneling the proximal pedicle and 3-stage procedures involving tissue expansion, vascular delay, and flap tailoring after inset before pedicle division have also been described. This article describes a traditional 2-stage technique and presents the case of a patient with a posttraumatic nasal deformity reconstructed with a PMFF.
Assuntos
Testa/cirurgia , Deformidades Adquiridas Nasais/cirurgia , Rinoplastia/métodos , Retalhos Cirúrgicos/irrigação sanguínea , Estética , Humanos , Complicações Pós-OperatóriasRESUMO
Indocyanine green angiography is increasingly being adopted by reconstructive surgeons for use in pedicle tissue flaps and microvascular free-tissue transfer procedures. With the increasing adoption of this technology, the postoperative complication rate and the need for reoperation can be decreased, making these reconstructive procedures more predictable. The main disadvantage of this technology is its cost; with time and greater adoption of this technology, the cost will eventually decrease. Decreased postoperative complications and reduced need for revision surgery with the use of this technology will play a significant role in decreasing the overall health care costs for these complex reconstructive procedures.
Assuntos
Angiofluoresceinografia/métodos , Sobrevivência de Enxerto , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos/irrigação sanguínea , Anastomose Cirúrgica/métodos , Corantes , Angiofluoresceinografia/economia , Retalhos de Tecido Biológico/irrigação sanguínea , Humanos , Verde de Indocianina , Procedimentos de Cirurgia Plástica/economia , Grau de Desobstrução Vascular/fisiologiaAssuntos
Ossos Faciais/patologia , Displasia Fibrosa Poliostótica/cirurgia , Doenças Mandibulares/cirurgia , Crânio/patologia , Adolescente , Anastomose Cirúrgica/métodos , Transplante Ósseo/métodos , Ossos Faciais/diagnóstico por imagem , Fáscia/transplante , Feminino , Displasia Fibrosa Poliostótica/diagnóstico por imagem , Humanos , Doenças Mandibulares/diagnóstico por imagem , Microcirurgia/métodos , Planejamento de Assistência ao Paciente , Radiografia , Procedimentos de Cirurgia Plástica/métodos , Crânio/diagnóstico por imagem , Retalhos CirúrgicosAssuntos
Carcinoma de Células Escamosas/diagnóstico , Mucosa Bucal/patologia , Neoplasias Bucais/diagnóstico , Acantólise/patologia , Adulto , Carcinoma de Células Escamosas/cirurgia , Bochecha/patologia , Quimioterapia Adjuvante , Evolução Fatal , Feminino , Seguimentos , Humanos , Neoplasias Bucais/cirurgia , Esvaziamento Cervical , Terapia Neoadjuvante , Recidiva Local de Neoplasia/patologia , Radioterapia Adjuvante , Procedimentos de Cirurgia PlásticaRESUMO
Endosseous implants have revolutionized dental prosthetic rehabilitation, providing a reliable, a stable, and an aesthetic option for dental reconstruction. Dental implants have similarly improved the functionality of reconstructions following cancer surgery. The use of dental implants in oral cancer reconstruction can be divided into 2 categories: (1), for retention of a prosthetic device, for example, palatal obturator, used as the primary means of maxillary reconstruction, and (2), for dental rehabilitation after bony reconstruction of the jaws. This article discusses these different uses of endosseous implants in patients with head and neck cancer.
RESUMO
Endosseous implants have revolutionized dental prosthetic rehabilitation, providing a reliable, a stable, and an aesthetic option for dental reconstruction. Dental implants have similarly improved the functionality of reconstructions following cancer surgery. The use of dental implants in oral cancer reconstruction can be divided into 2 categories: (1), for retention of a prosthetic device, for example, palatal obturator, used as the primary means of maxillary reconstruction, and (2), for dental rehabilitation after bony reconstruction of the jaws. This article discusses these different uses of endosseous implants in patients with head and neck cancer.