Donor-site complications in vascularized bone flap surgery.
SourceJournal of Investigative Surgery, 15, 4, (2002), pp. 185-97
Article / Letter to editor
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Journal of Investigative Surgery
SubjectSurgical Oncology; Implantology and biomaterials; Tissue reconstruction; Chirurgische Oncologie; Implantologie en biomaterialen; Weefselreconstructie
Microvascular osteocutaneous free flaps have given reconstructive surgeons a powerful tool in the reconstruction of composite defects in head and neck surgery. Radial forearm, scapula, iliac crest, and fibula flaps have been used extensively in mandibular reconstruction. The inevitable donor-site morbidity of these osteocutaneous flaps has received less attention than the reconstructive advantages. We have reviewed the literature for each type of flap to determine the kind, incidence, and consequences of flap associated morbidity. In the future, tissue-engineered prefabricated free flaps might play an important role.
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