Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 5 Issue 1

Reconstruction of Mandible with the Use of Free Flaps after Segmental Resection with Exarticulation

Lilia Pavlovna Yakovleva1, Mikhail Alekseevich Kropotov2, Ludmila Grigorjevna Zhukova3, Vladimir Anatolievich Sobolevskiy4, Artem Valerevich Khodos5* and Petr Aleksandrovich Gavrischuk5

1Head of Head and Neck Surgery Department, Moscow Clinical Scientific Center n.a A.Loginov, Moscow, Russia

2Head of Head and Neck Surgery Department, National Medical Research Center of Oncology Named After N.N. Blokhin, Moscow, Russia

3Deputy Director of Oncology, Moscow Clinical Scientific Center n.a A.Loginov, Moscow, Russia

4Head of Reconstruction and Plastic Department, National Medical Research Center of Oncology Named After N.N. Blokhin, Moscow, Russia

5Department of Head and Neck Surgery, Moscow Clinical Scientific Center n.a A.Loginov, Moscow, Russia

*Corresponding Author: Artem Valerevich Khodos, Department of Head and Neck Surgery, Moscow Clinical Scientific Center n.a A.Loginov, Moscow, Russia.

Received: September 15, 2021; Published: December 10, 2021

Abstract

Introduction: Segmental resection of the mandible is often used in patients with advanced malignant tumors of oral cavity and primary tumors of the lower jaw. Violation of mandibular arch after the surgical treatment leads to the problems with chewing, swallowing, speech and significant esthetic defects and deformation of lower face area. This circumstances force the surgeon to choose a safe method of reconstruction that can replace large bone and soft-tissue defects and guarantee an adequate time of postoperative treatment.

Materials and Methods: A total of 23 patients with primary and secondary tumors of mandible were included into our study. All had undergone segmental resection of the lower jaw with exarticulation with one-time reconstruction with free bone flaps over the period of 14 years from 2003 to 2018.

Results: The described in the article method of joint reconstruction guarantees reliable fixation of the new-formed articular head and recreate temporomandibular joint.

Conclusion: The use of bone transplants can restore the anatomy of maxillofacial area, the function of temporomandibular joint and the form of the lower zone of the face after segmental resection of the lower jaw with exarticulation in patients with primary and secondary, benign and malignant tumors.

KeywordsReconstruction of Mandible; Free Flaps; Segmental Resection; Exarticulation

References

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Citation

Citation: Artem Valerevich Khodos., et al. “Reconstruction of Mandible with the Use of Free Flaps after Segmental Resection with Exarticulation". Acta Scientific Gastrointestinal Disorders 5.1 (2022): 11-18.

Copyright

Copyright: © 2022 Artem Valerevich Khodos., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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