! ORL via Alexandros G.Sfakianakis on Inoreader: Sandwich flaps as a feasible solution for the management of huge mandibular composite tissue defects

! ORL via Alexandros G.Sfakianakis on Inoreader

Sandwich flaps as a feasible solution for the management of huge mandibular composite tissue defects Aug 7th 2015, 00:02, by J. Weitz, K. Kreutzer, F.J.M. Bauer, K.-D. Wolff, C.-P. Nobis, M.R. Kesting In the current therapy of head and neck defects, surgical reconstruction with the aid of pedicle or free flaps is common practice. Suitable single flaps are available to solve most reconstructive challenges. However, reconstruction can become a problem in extensive mandibular defects, as they are often caused by large primary tumors or osteoradionecrosis. These composite defects often lead to large intraoral or extraoral fistulas due to the involvement of mucosa, skin, mandible and soft tissue. These issues call for a double flap approach in order to achieve adequate reconstruction.

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