The lateral thoracic flap for maxillofacial defect reconstruction

Embed Size (px)

Text of The lateral thoracic flap for maxillofacial defect reconstruction

  • Free PapersPoster Presentations 587

    flaps. The flaps ranged from 5 cm 7 cmto 6 cm 8 cm in size, and were adjustedto the defect of the tongue. The vascularpedicle included the radial artery and thecephalic vein. In some cases the lateralantebrachiaare coaptedcome of recfollow-up econtour andtongue, thespeech funcResults: Alfully from ssurvived. Tup for aveDuring theof the recofactory. Thefunctional mand remainthe swallownearly at ncould ingesReasonablywas observpostoperativConclusionspatients wtomy, micrthe tonguean ideal, swhich allowtion togetheoutcomes.


    P190Hemitongin the canG.Q. Liao J. Li, C.Z. LDepartmentSurgery, GuSun Yat-Sen

    Backgroundthis study wity of hemitocanine modMethods: Einto the alloing 4 pairsStandard gewas adminidure. A vertand we hanerves. A trthen performipsilateral tdelivered byA second

    same operation. These two hemitongueswere exchanged and reanastomosis ofthe neurovascular structures were per-formed. Then the pairs were divided intotwo groups, one of which (Group B)

    uneregerd sicaoferys.Alcut

    d thdayd dimh thtrop


    ion:odth bat fiis e.



    truo han,entGuen

    ormlarf paibue octictithereoneuentlarnewepemucti


    P192The lateral thoracic ap formaxillofacial defectreconstruction

    B. XentShato

    ty, S

    y al taciitywigiollechesver


    d nt


    , annspp iofer



    onacge. Riacciguentnivzil


    ncht waffemm

    d, ireasmaome ail caal r

    iml cutaneous nerves of the flapto the lingual nerve. The out-onstruction was evaluated byxaminations, considering themobility of the reconstructedswallowing function and the

    tion.l patients recovered unevent-urgery. All transplanted flapshe patients were followed

    rage 2 years and 6 months.follow-up period the contournstructed tongues was satis-

    patients demonstrated goodobility of the reconstructed

    ing tongue. Postoperatively,ing and speech function was

    ormal levels and the patientst a solid or semisolid diet.

    effective sensory recoveryed in all the patients 1 yearely.: For the tongue cancer

    ho underwent hemiglossec-ovascular reconstruction ofwith free forearm flaps is

    afe and propagable method,s preservation of tongue func-r with good overall clinical


    ue allotransplantationine model

    , Q. Li, Y.X. Su, H.C. Liu,i, Q. Wangof Oral and Maxillofacial

    anghua School of Stomatology,University, Guangzhou, China

    and Objectives: The aim ofas to investigate the feasibil-ngue allotransplantation in the

    el.ight beagle dogs were enrolledtransplant protocol, compris-with the same sex and sizes.neral endotracheal anaesthesiastered throughout the proce-ical midline incision was madervested the artery, vein andansoral hemiglossectomy wased and the right hemitongue

    o the vessel preparation waspharyngotomy into the neck.

    surgical team performed the

    used immCsA) whAfter surdition anPathologthe basevived ovelectrophsal nerveResults:A had agraft haon 11thwere deafourth andays witday elecsal nervepartial coConclusanimal mtation wiof CsAdosagerejection


    P191A newmandibrecons

    G.Q. LiaN. FahmC.Q. WaDepartmSurgery,Sun Yat-S

    The defmandibuquality oof mandguidelinreconstrureconstrunot onlyalso thethe harmmuscle-nthe currmandibuward adefects dregions,reconstru

    doi:10.10osuppressants (cyclosporin A;as the other (Group A) did not.y we observed the general con-urvival time of the right grafts.l researches were studied onsurvival time. If the grafts sur-3 months, we investigated theiological test of the hypoglos-

    l hemitongue grafts of Groupe rejection. In Group B onee irreversible acute rejectionafter operation. Two animals

    ue to infection of the neck. Theal in Group B survived for 100e hemitongue graft. On 100thhysiological test of hypoglos-the hemitongue graft verified

    uction.It is feasible to establish the

    el of hemitongue allotransplan-eagle dogs. Aggressive dosagerst followed by maintenanceffective to control the acute


    ssication ofar defects for surgicalction

    , Y.X. Su, H.C. Liu, J. Li,, Q. Wang, T.H. Zhang,G.S. Zheng, Y.J. Liangof Oral and Maxillofacial

    anghua School of Stomatology,University, Guangzhou, China

    ity and disability caused bydefects always decrease thetients lives. The classificationlar defects contributes to thef clinical management andon. The goals of surgicalon and rehabilitation includerestoration of appearance, but

    covery of functionsthat is,y of the occlusion-mandible-ral reflex. Here, we review

    situation and advances inreconstruction, and put for-classification of mandibular

    ndent on defects in functionalscle attachment and modern

    ve methods.


    J. Shi ,DepartmSurgery,AfliatedUniversi

    This studof lateramaxillofthe qual17 casesfacial rewere coage of tyears (amale tothoraciclar flapdefect ofthe flapspresenteing fromAfter 3phologysatisfiedwas incoracic flaqualitywith othclinic.


    P193Presernerve dresectiwith iliodontoC.E.X.SF.O.T. PA. RodrDepartmAmaro U358, Bra

    Backgrotogenicof meserecurrencan bemore countreatewith inctional darange frtion. Tha clinicasegmentoma, itsu, G.F. Shen, X.D. Wangof Oral and Maxillofacialnghai Ninth HospitalShanghai Jiao Tonghanghai, China

    imed to evaluate the usefulnesshoracic flap in reconstructingal sift tissue defects to improveof life of the patients. Totallyth tissue defects in the maxillo-n, caused by various disease,ted during 20042006. The

    e patients ranged from 2971age, 48.4 years), the ratio ofmale was 12:5. The lateral

    or combined with the scapu-re applied to reconstruct theft tissue and/or bone tissue. Allrvived except one case whichecrosis of the epidermis result-he too fine supplying artery.months follow up, the mor-the reconstructed region wasd the scar in the donate siteicuous. The application of tho-s a better choice to improvelife of the patients comparedfree flaps traditionally used in


    ion of inferior alveolaring extensive segmentaland its reconstructionbone for treatment ofnic myxomabeiro da Silva ,a, M.N. dos Santos,ez, A. Cerriof Oral Medicine, Santoersity UNISA, Rua Pelotas

    and Objectives: The odon-xoma is a benign tumourymal origin, locally invasive,ith slow grow. While both jawscted, this tumour is slightlyon in the mandible. If left

    t can result in complicationsed possibility of morphofunc-ge. The therapeutic modalitiescurettage to in block resec-

    m of this study is to describese of an extensive mandibularesection for treatment of myx-mediate reconstruction with