Home > Journals > Italian Journal of Maxillofacial Surgery > Past Issues > Italian Journal of Maxillofacial Surgery 2009 August;20(2) > Italian Journal of Maxillofacial Surgery 2009 August;20(2):79-88

CURRENT ISSUE
 

ARTICLE TOOLS

Reprints

ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY

A Journal on Maxillofacial Surgery


Official Journal of the Italian Society of Maxillofacial Surgery


eTOC

 

ORIGINAL ARTICLES  


Italian Journal of Maxillofacial Surgery 2009 August;20(2):79-88

language: English

Posterolateral mandibular defect reconstruction with non-osseous free flaps in patients with advanced cancer: a 10-year retrospective study

Poli T., Ferrari S., Bianchi B., Balestreri A., Scozzafava E., Sesenna E.

Section of Maxillo-Facial Surgery, Department of ENT-Dentistry-Ophthalmological and Cervico-Facial Sciences, Azienda Ospedaliero-Universitaria di Parma, Italy


PDF  


Aim. Soft tissue free flaps (forearm, rectus abdominis, and anterolateral thigh) are a good reconstruction choice for selected patients with advanced malignant tumors (stages III-IV) or recurrences following radiotherapy or chemotherapy, involving the posterolateral mandibular segments.
Methods. To evaluate the long-term aesthetic and functional results and possible complications of this reconstructive technique, we reviewed the data collected over a 10-year period on 30 patients with three-dimensional oromandibular defects.
Results. All free flaps were transferred successfully. Two patients (6,6%) died within the first two weeks, and 9 patients (30%) suffered early perioperative complications. No delayed complications were observed. An acceptable aesthetic and functional recovery was recorded in almost every case.
Conclusion. Although bone-containing free flaps are currently the gold standard in mandibular reconstruction, soft tissue free flaps are a good reconstruction option in selected cases (elderly patients, poor performance status, posterolateral oromandibular defects, and soft tissue defects exceeding bone loss)

top of page

Publication History

Cite this article as

Corresponding author e-mail