Reconstruction of anterior through and through oromandibular defects following oncological resections

Bernardo Bianchi, Andrea Ferri, Silvano Ferrari, Chiara Copelli, Pietro Boni, Enrico Sesenna

Research output: Contribution to journalArticle

Abstract

Background: Resections of oromandibular squamous cell carcinoma involving anterior mandible, floor of the mouth, and the skin, lead to composite oromandibular defects that can be approached in several ways depending on the extension of the bone defect, of the soft tissue and cutaneous resection, the patient's general status, and the prognosis. Methods: A retrospective evaluation of 27 patients has been performed. The techniques described included single osseous or soft tissues free flap reconstruction, two free flaps or free and locoregional flap association. Results: Postoperative follow-up ranged from 12 to 120 months. Final results were evaluated with regards to deglutition, speech, oral competence, and esthetic outcome. Conclusion: Reconstruction of the anterior mandible is strongly indicated whenever possible. When the defect involves the tongue, the best results are provided by the association of two free flaps. Finally, the association of free and locoregional flaps ia a good option for external coverage reconstruction.

Original languageEnglish
Pages (from-to)97-104
Number of pages8
JournalMicrosurgery
Volume30
Issue number2
DOIs
Publication statusPublished - 2010

ASJC Scopus subject areas

  • Surgery

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