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Ngày xuất bản: 11/09/2021
Số lượt xem tóm tắt: 179
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DOI: https://doi.org/10.51298/vmj.v506i1-2.978
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Tập 506 Số 1-2 (2021): Vietnam Medical Journal
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Hong Nhung, N. ., Tan Van, N. ., Duc Thanh, L. ., & Tai Son, N. . (2021). APPLICATION MAXILLOFACIAL MICROSURGERY AT HANOI NATIONAL HOSPITAL OF ODONTO-STOMATOLOGY. Tạp Chí Y học Việt Nam, 506(1-2). https://doi.org/10.51298/vmj.v506i1-2.978

APPLICATION MAXILLOFACIAL MICROSURGERY AT HANOI NATIONAL HOSPITAL OF ODONTO-STOMATOLOGY

Hong Nhung Nguyen 1,, Tan Van Nguyen 1, Duc Thanh Le 1, Tai Son Nguyen 1
1 Hanoi National Hospital of Odonto-Stomatology

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Tóm tắt

Background: Microsurgery is a highly complex technique that requires specialized equipment and steady surgical techniques. This is a retrospective review of the development progress of microsurgical techniques at Hanoi National Hospital of Odonto-Stomatology (NHOS) during the past 12 years. Methods: Retrospective study assessing the training and developing process of microsurgical techniques at NHOS in 12 years. Results: NHOS has performed 665 microsurgical flaps reconstructions after surgical removal of large tumors in maxillomandibular area. 441 fibular free flaps were harvested for mandibular reconstructions after resections of ameloblastoma and osteofibroma. 4 fibular flaps were used for maxillary reconstructions. 119 osteocutaneous fibular free flaps were harvested for mandibular reconstructions in oral cancer surgeries. 83 lateral arm flaps and 13 anterolateral thigh flaps reconstructions were performed following cancer ablations. 5 patients underwent reconstruction after cancer resection with 2 fibular free flaps and anterolateral thigh flaps. Success rate is 654/665 (98.35%). Conclusion: The implementation of microsurgery technique at NHOS has been carried out for only 12 years but rapid and significant progress has been made. Free flap reconstruction is a flexible reconstructive option to restore essential functions and aesthetics of the facial area and to improve the patient's quality of life.

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