Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | miercuri, 21 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

VALOAREA ATELEI DE RECONSTRUCŢIE DIN TITAN ÎN PLASTIA PIERDERILOR DE SUBSTANŢĂ CONSECUTIVE REZECŢIEI IN CONTINUITATE A MANDIBULEI
VV Costan 1, M Balan 1, Marilena Bădăluţă 1, Otilia Boişteanu 2,
Raluca Dragomir 1, Eugenia Popescu 1
1) Clinica de Chirurgie Orală şi Maxilo-Facială
2) Clinica Anestezie Terapie Intensivă
Universitatea de Medicină şi Farmacie „Gr. T. Popa” Iaşi
Spitalul „Sf. Spiridon” Iaşi
Jurnalul de chirurgie (Iaşi). 2012; 8(4): 379-385
Full text:
Format PDF (Română/Romanian)

Abstract:

BACKGROUND: Any bone loss that interrupts the continuity of the mandible has important functional and aesthetic consequences. One of the posibilities of plasty is represented by the use of the titan reconstruction plate and the optimization of results by association of free flaps. MATERIAL AND METHODS: Between 2006 - 2012, for a number of 26 patients the titan plate was used for restoring mandibular continuity for bone defects resulted from the excision of malignant tumors. RESULTS: In all cases a free flap was asociated, usually a latissimus dorsi myocutaneous flap (20 cases); in one case a radial fascio-cutaneous flap combined with a pectoralis  major myocutaneous flap. In 5 cases the modelation of the fibula flap was performed on a mandibular reconstruction plate. 3 of the reconstruction plates were removed postoperative, one of them because of the necrosing of a latissimus dorsi free flap, and the other two because of cutaneous or intraoral decubitus lesions. In the rest of the patiens the results were good or very good, with the resumption of oral feeding, a good diction and restoration of facial symmetry. CONCLUSIONS: The use of voluminous muscular free flaps is followed by a reduced rate of exteriorization of the reconstruction plates, with good and very good aesthetic and functional results. The association of reconstruction plates to fibula free flaps allows the restoration of a good symmetry with good stability in time.

KEY WORDS: TITANIUM PLATE; MANDIBLE RECONSTRUCTION; FREE FLAPS; LATISSIMUS DORSI FREE FLAP; FIBULA FREE FLAP

HOW TO CITE: Costan VV, Balan M, Bădăluţă M, Boişteanu O, Dragomir R, Popescu E. [The value of titan plate for the plasty of bone loss resulted from segmental resection of mandible]. Jurnalul de chirurgie (Iaşi). 2012; 8(4): 379-385.


: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.