APPLICATION MAXILLOFACIAL MICROSURGERY AT HANOI NATIONAL HOSPITAL OF ODONTO-STOMATOLOGY
Main Article Content
Abstract
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.
Article Details
References
2. Pablo H. Montero, Snehal G. Patel. Cancer of the oral cavity. Surg Oncol Clin N Am. 2015;24(3):17.
3. R.J. Fonseca. Oral and maxillofacial surgery. 3 ed. R.J. Fonseca, editor2018.
4. Miranda-Filho A, Bray F. Global patterns and trends in cancers of the lip, tongue and mouth. Oral oncology. 2020 Mar;102:104551. PubMed PMID: 31986342.
5. Jatin Shah. Head and Neck surgery and oncology. 5 ed. 5, editor2020.
6. Andrew M. Fribley. Targeting Oral Cancer. Andrew M. Fribley, editor. Switzerland Springer International; 2016.
7. Rivera C. Essentials of oral cancer. International journal of clinical and experimental pathology. 2015;8(9):11884-94. PubMed PMID: 26617944. Pubmed Central PMCID: 4637760.
8. Neil. S. Norton. Netter's Head and Neck Anatomy for Dentistry. 3 ed2017.
9. William C. Wood, Charley A. Staley, John E. Anatomic basis of tumor surgery. 2, editor: Springer Heidelberg Dordrecht London New York; 2010.
10. J. Craig Merrell, Nguyen Viet Tien, Nguyen Tai Son, Luu Ngoc An, Daniel Sellers, Robert Russell, Ralph Manktelow, Fu-Chan Wei, Dennis P. Orgill. Introduction of Microsurgery in Vietnam by a Charitable Organization: A 15-Year Experience. Plast. Reconstr. Surg. 119: 1267, 2007.