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Multipaddled chimeric anterolateral thigh perforator flap for reconstruction of complex defects in head and neck
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E-Poster Presentation
patient was presented with an ulcer in the submandibular and neck region following dental infection. This condition was worsened with trismus, poor systemic condition, and serious respiratory difficulty. After clinical diagnosis was made, early surgical treatment and broad spectrum antibiotic therapy (Ceftriaxone and Metronidazole) were initiated. With local infection control of the lesion (tissue debridement and hemolok application) twice a day, we were able to prevent further destruction of the other anatomical structure of the region. The defect was then close by surgery with skin flap (skin undermining and modified skin stretcher manipulation) to achieved tension free skin closure. A good clinical result was thus obtained. http://dx.doi.org/10.1016/j.ijom.2015.08.068 Multipaddled chimeric anterolateral thigh perforator flap for reconstruction of complex defects in head and neck W. Duan ∗ , Z. Xu, E. Zhang, F. Liu, W. Dai, X. Tan, S. Huang, Z. Li, C. Sun Oromaxillofacial-Head and Neck Surgery, Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Shenyang, China Background: The ALT has been the current workhorse for the soft-tissue defects reconstruction. In this article, we describe the use of chimeric free ALT flaps to reconstruct complex threedimensional spatial soft-tissue defects in head and neck. Methods: Fifteen patients who had complex multiple anatomic sites defects after malignant tumor wide excision surgery, received reconstruction based on the free multipaddled chimeric ALT flaps. 10 patients were diagnosed as buccal cancer, 4 patients were tongue cancer with submandibular skin invaded, and 1 patient was submandibular skin cancer. All patients were examined preoperatively with a portable super Doppler probe to detect and locate the perforators which originate from the lateral circumflex femoral artery. The flaps were created with two or three paddles using independent perforators which originate from the lateral circumflex femoral system that joined to the same mother vascular source were identified. In this series, 11 cases were used with bipaddles anterolateral thigh chimeric flaps to reconstruct defects, and others were with tripaddles anterolateral thigh chimeric flaps. The paddles range in size from 5.0 cm × 5.0 cm to 12 cm × 7.5 cm. Results: All flaps survived. Only one case which we used split thickness skin graft to cover the recipient region, and donor sites of others were closed primarily. After a mean follow-up time of 11.3 months, there were no obvious complications with the donor and recipient sites. Conclusion: The multipaddled anterolateral thigh chimeric perforator flap is a good and reliable alternative for reconstructing complex soft tissue defects of the head and neck. http://dx.doi.org/10.1016/j.ijom.2015.08.069
Juvenile trabecular ossifying fibroma: presentation of three cases F.L. Duque Serna 1,2,∗ , C.M. Ardila Medina 1 1 Faculty of Dentistry University of Antioquia, Medellín, Colombia 2 Department of Maxillofacial Surgery and Stomatology Hospital University San Vicente Fundation, Medellín, Colombia
Background: Juvenile trabecular ossifying fibroma is a welldefined lesion from the clinical and histological points of view. It has been recently separated from other fibro-osseous lesions. Its biological behaviour is defined but unpredictable. Objective: To describe three cases of juvenile trabecular ossifying fibroma observed in the upper jaw. Diagnosis protocols and therapy are included. Clinical cases: Three severe cases of juvenile trabecular ossifying fibroma are presented. The clinical, radiographic and tomographic appearances are described. The histopathology, diagnosis and treatment are also presented. Conclusions: Juvenile trabecular ossifying fibroma is a very uncommon benign tumor that appears in young people. It is important to make an adequate diagnosis with the objective of differentiating juvenile trabecular ossifying fibroma from other fibrose lesions; this allows early applying an adequate therapy. http://dx.doi.org/10.1016/j.ijom.2015.08.070 A retrospective study on etiology, type and treatment of mandibular condyle fractures F.L. Duque Serna 1,2,∗ , C.M. Ardila Medina 1 1 Faculty of Dentistry University of Antioquia, Medellín, Colombia 2 Department of Maxillofacial Surgery and Stomatology Hospital University San Vicente Fundation, Medellín, Colombia
Background: Maxillofacial trauma affects a great number of people who suffer from different physical trauma. Objective: To determine the prevalence, types of fractures and forms of treatment of mandibular condyle fractures. Method: A retrospective study was conducted in the Maxillofacial Surgery Unit of the San Vicente de Paul University Hospital, Medellin, Colombia between the years 1998 and 2010. The sample was composed of 2679 patients with maxillofacial trauma. A complete medical history was made in which all the information related to the suffered trauma, as well as the family history and medicaments were annotated. A clinical and radiographic examination was also made. Results: Of the total of patients with maxillofacial trauma, 542 presented mandibular condyle fractures. A greater number of fractures were observed in the left condyle, in men, and in the age group 21–30 years old. Fractures were more frequently caused by traffic accidents. A total of 322 condyle fractures were treated by means of closed reduction and 220 by means of open reduction. http://dx.doi.org/10.1016/j.ijom.2015.08.071
E-Poster Presentation
patient was presented with an ulcer in the submandibular and neck region following dental infection. This condition was worsened with trismus, poor systemic condition, and serious respiratory difficulty. After clinical diagnosis was made, early surgical treatment and broad spectrum antibiotic therapy (Ceftriaxone and Metronidazole) were initiated. With local infection control of the lesion (tissue debridement and hemolok application) twice a day, we were able to prevent further destruction of the other anatomical structure of the region. The defect was then close by surgery with skin flap (skin undermining and modified skin stretcher manipulation) to achieved tension free skin closure. A good clinical result was thus obtained. http://dx.doi.org/10.1016/j.ijom.2015.08.068 Multipaddled chimeric anterolateral thigh perforator flap for reconstruction of complex defects in head and neck W. Duan ∗ , Z. Xu, E. Zhang, F. Liu, W. Dai, X. Tan, S. Huang, Z. Li, C. Sun Oromaxillofacial-Head and Neck Surgery, Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Shenyang, China Background: The ALT has been the current workhorse for the soft-tissue defects reconstruction. In this article, we describe the use of chimeric free ALT flaps to reconstruct complex threedimensional spatial soft-tissue defects in head and neck. Methods: Fifteen patients who had complex multiple anatomic sites defects after malignant tumor wide excision surgery, received reconstruction based on the free multipaddled chimeric ALT flaps. 10 patients were diagnosed as buccal cancer, 4 patients were tongue cancer with submandibular skin invaded, and 1 patient was submandibular skin cancer. All patients were examined preoperatively with a portable super Doppler probe to detect and locate the perforators which originate from the lateral circumflex femoral artery. The flaps were created with two or three paddles using independent perforators which originate from the lateral circumflex femoral system that joined to the same mother vascular source were identified. In this series, 11 cases were used with bipaddles anterolateral thigh chimeric flaps to reconstruct defects, and others were with tripaddles anterolateral thigh chimeric flaps. The paddles range in size from 5.0 cm × 5.0 cm to 12 cm × 7.5 cm. Results: All flaps survived. Only one case which we used split thickness skin graft to cover the recipient region, and donor sites of others were closed primarily. After a mean follow-up time of 11.3 months, there were no obvious complications with the donor and recipient sites. Conclusion: The multipaddled anterolateral thigh chimeric perforator flap is a good and reliable alternative for reconstructing complex soft tissue defects of the head and neck. http://dx.doi.org/10.1016/j.ijom.2015.08.069
Juvenile trabecular ossifying fibroma: presentation of three cases F.L. Duque Serna 1,2,∗ , C.M. Ardila Medina 1 1 Faculty of Dentistry University of Antioquia, Medellín, Colombia 2 Department of Maxillofacial Surgery and Stomatology Hospital University San Vicente Fundation, Medellín, Colombia
Background: Juvenile trabecular ossifying fibroma is a welldefined lesion from the clinical and histological points of view. It has been recently separated from other fibro-osseous lesions. Its biological behaviour is defined but unpredictable. Objective: To describe three cases of juvenile trabecular ossifying fibroma observed in the upper jaw. Diagnosis protocols and therapy are included. Clinical cases: Three severe cases of juvenile trabecular ossifying fibroma are presented. The clinical, radiographic and tomographic appearances are described. The histopathology, diagnosis and treatment are also presented. Conclusions: Juvenile trabecular ossifying fibroma is a very uncommon benign tumor that appears in young people. It is important to make an adequate diagnosis with the objective of differentiating juvenile trabecular ossifying fibroma from other fibrose lesions; this allows early applying an adequate therapy. http://dx.doi.org/10.1016/j.ijom.2015.08.070 A retrospective study on etiology, type and treatment of mandibular condyle fractures F.L. Duque Serna 1,2,∗ , C.M. Ardila Medina 1 1 Faculty of Dentistry University of Antioquia, Medellín, Colombia 2 Department of Maxillofacial Surgery and Stomatology Hospital University San Vicente Fundation, Medellín, Colombia
Background: Maxillofacial trauma affects a great number of people who suffer from different physical trauma. Objective: To determine the prevalence, types of fractures and forms of treatment of mandibular condyle fractures. Method: A retrospective study was conducted in the Maxillofacial Surgery Unit of the San Vicente de Paul University Hospital, Medellin, Colombia between the years 1998 and 2010. The sample was composed of 2679 patients with maxillofacial trauma. A complete medical history was made in which all the information related to the suffered trauma, as well as the family history and medicaments were annotated. A clinical and radiographic examination was also made. Results: Of the total of patients with maxillofacial trauma, 542 presented mandibular condyle fractures. A greater number of fractures were observed in the left condyle, in men, and in the age group 21–30 years old. Fractures were more frequently caused by traffic accidents. A total of 322 condyle fractures were treated by means of closed reduction and 220 by means of open reduction. http://dx.doi.org/10.1016/j.ijom.2015.08.071