Vascularized scapula and latissimus dorsi flap for CAD/CAM assisted reconstruction of mandibular defects including the mandibular condyle: technical report and clinical results
Abstract: Abstract
Background: Reconstruction of mandibular continuity and function after tumor resection is challenging, particularly in cases including the mandibular condyle. Various approaches for reconstruction after disarticulation resection have been reported. However, the scapula flap has received little attention as a treatment option in these cases.
Patients and methods: Three cases of computer aided design and computer aided manufacturing (CAD/CAM) assisted reconstruction after disarticulation resection using a vascularized scapula and latissimus dorsi flap are reported. All cases required reconstruction of the mandibular ramus and condyle in combination with the reconstruction of large and complex soft tissue defects.
Results: The surgical procedure was deemed successful in all cases. The scapula flap could be placed as preoperatively planned and patients regained their preoperative occlusion pattern and satisfying mouth opening-ranges. The large soft tissue defects could reliably be reconstructed using a latissimus dorsi flap.
Conclusions: The scapula and latissimus dorsi flap can be considered a suitable option for the reconstruction of mandibular disarticulation resection defects in combination with large soft tissue defects
- Location
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Deutsche Nationalbibliothek Frankfurt am Main
- Extent
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Online-Ressource
- Language
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Englisch
- Notes
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issn: 1471-2482
- Event
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Veröffentlichung
- (where)
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Freiburg
- (who)
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Universität
- (when)
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2019
- DOI
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10.1186/s12893-019-0535-3
- URN
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urn:nbn:de:bsz:25-freidok-1500585
- Rights
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Der Zugriff auf das Objekt ist unbeschränkt möglich.
- Last update
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25.03.2025, 1:44 PM CET
Data provider
Deutsche Nationalbibliothek. If you have any questions about the object, please contact the data provider.
Associated
Time of origin
- 2019
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Unterkieferprogenie
Customized mandibular reconstruction plates improve mechanical performance in a mandibular reconstruction model
Analysis of human mandibular movement
Analyses of mandibular molar root sizes and mandibular size in extant and fossil hominids
The accuracy of computer-assisted primary mandibular reconstruction with vascularized bone flaps : iliac crest bone flap versus osteomyocutaneous fibula flap
Clinical Test of Masticatory Efficacy in Patients with Maxillary/Mandibular Defects Due to Tumors
Mandibular intraosseous pseudocarcinomatous hyperplasia: a case report
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Herbst treatment with reduced mandibular cast splints : revisited
Biphasic osteoconductive polymer scaffolds for mandibular bone reconstruction
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