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Date Published: 22/08/2022
Abstract Views: 214
Views PDF: 157
DOI: https://doi.org/10.51298/vmj.v517i1.3190
Issue
Vol. 517 No. 1 (2022)
Section
Các bài báo
How to Cite
Bình Nguyên, L. ., Tài Sơn, N. ., & Quang Đức, N. . (2022). OUTCOMES OF IMMEDIATE COMPOSITE OROMANDIBULAR RECONSTRUCITON WITH OSTEOCUTANEOUS FIBULAR FLAP AFTER CANCER RESECTION. Vietnam Medical Journal, 517(1). https://doi.org/10.51298/vmj.v517i1.3190

OUTCOMES OF IMMEDIATE COMPOSITE OROMANDIBULAR RECONSTRUCITON WITH OSTEOCUTANEOUS FIBULAR FLAP AFTER CANCER RESECTION

Lại Bình Nguyên1,, Nguyễn Tài Sơn2, Nguyễn Quang Đức3
1 Hanoi Central Odonto-Stomatology Hospital
2 108 Institute Of Clinical Medical And Pharmaceutical Sciences
3 Center for Craniofacial and Plastic Surgery, 108 Military Central Hospital

Main Article Content

Abstract

Objective: This paper aims to describe results of primary complex oromandibular reconstruction with osteocutaneous flap after cancer resection. Methods: The study was conducted in 63 patients were diagnosed with maxillofacial cancer and had oromandibular resected in Department of Plastic and Aesthetic Surgery, Hanoi National Hospital of Odonto – Stomatology from May 2014 to July 2021. Results: The mean age was 54.05 ± 13.14 years, male/female ratio was 2/1. Skin islands of fibular flaps had mean width of 5.79 ± 0.60 cm  and mean length of 14.46 ± 1.33 cm, with 62 of total 63 skin islands were used for mucosal reconstruction, and 1 case was used for skin defect. The mean number of fibular bone’s fragments used for mandibular reconstruction was 2.44 ± 0.79. There were 2/63 cases with total flap failure and no case with partial flap failure. Complications occurred in 29 patients, with total 40 complications. The average follow-up was 40.24 ± 21.25 months, there are 50 patients still alive and 13 patients are dead (the mean survival time was 23.92 ± 19.45 months). Functional outcomes normal or slightly altered function was obtained for oral diet, speech intelligibility, and mouth opening in 84.5%, 82.8%, and 98.3% of patients, respectively. 41.4% of aesthetic results were very satisfied, 50.0% satisfied, and 8.6% poorly satisfied. Conclusion: Immediate composite oromandibular reconstruction with osteocutaneous flap after cancer resection has very favorable functional and aesthetic results, and should be performed as a routine basis to maximize patients’ quality of life.

Article Details

Keywords

composite oromandibular defect, osteocutaneous fibular flap, cancer resection

References

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