Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur
The authors present a preliminary report of a new microsurgical mandibular reconstruction procedure using a segment of the internal condyle of the femur as a free vascularised bone graft. It is possible to harvest a compound flap including a bony segment measuring 8 × 1.5 × 1.5 cm and a cutaneous sa...
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| Veröffentlicht in: | British journal of plastic surgery 1991, Vol.44 (6), p.397-402 |
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| container_title | British journal of plastic surgery |
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| creator | Martin, D. Bitonti-Grillo, C. De Biscop, J. Schott, H. Mondle, J.M. Baudet, J. Peri, G. |
| description | The authors present a preliminary report of a new microsurgical mandibular reconstruction procedure using a segment of the internal condyle of the femur as a free vascularised bone graft. It is possible to harvest a compound flap including a bony segment measuring 8 × 1.5 × 1.5 cm and a cutaneous saphenous flap with its nutrient pedicle arising from the descending genicular artery and vein.
This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap. Dissection of the flap is sometimes difficult due to the inconsistency of its vascular anatomy; the donor site is left with minimal morbidity but, because of weakening of the femur, our patients are instructed not to return to full weight-bearing before the sixth postoperative week.
We consider segmental reconstruction of the mandibular body to be one of the best indications for the flap. |
| doi_str_mv | 10.1016/0007-1226(91)90194-O |
| format | Article |
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This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap. Dissection of the flap is sometimes difficult due to the inconsistency of its vascular anatomy; the donor site is left with minimal morbidity but, because of weakening of the femur, our patients are instructed not to return to full weight-bearing before the sixth postoperative week.
We consider segmental reconstruction of the mandibular body to be one of the best indications for the flap.</description><identifier>ISSN: 0007-1226</identifier><identifier>EISSN: 1465-3087</identifier><identifier>DOI: 10.1016/0007-1226(91)90194-O</identifier><identifier>PMID: 1933107</identifier><identifier>CODEN: BJPSAZ</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; Biological and medical sciences ; Bone and Bones - blood supply ; Bone Transplantation ; Female ; Femur ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; Male ; Mandibular Injuries - surgery ; Medical sciences ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgical Flaps - methods ; Wounds, Gunshot - surgery</subject><ispartof>British journal of plastic surgery, 1991, Vol.44 (6), p.397-402</ispartof><rights>1991 The Trustees of British Association of Plastic Surgeons. All rights reserved</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c378o-5d602200e7fc78ef033533368039181ef98e863775b5f87730db244e6c314cd73</citedby><cites>FETCH-LOGICAL-c378o-5d602200e7fc78ef033533368039181ef98e863775b5f87730db244e6c314cd73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,4009,4035,4036,23910,23911,25119,27902,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5435453$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1933107$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martin, D.</creatorcontrib><creatorcontrib>Bitonti-Grillo, C.</creatorcontrib><creatorcontrib>De Biscop, J.</creatorcontrib><creatorcontrib>Schott, H.</creatorcontrib><creatorcontrib>Mondle, J.M.</creatorcontrib><creatorcontrib>Baudet, J.</creatorcontrib><creatorcontrib>Peri, G.</creatorcontrib><title>Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur</title><title>British journal of plastic surgery</title><addtitle>Br J Plast Surg</addtitle><description>The authors present a preliminary report of a new microsurgical mandibular reconstruction procedure using a segment of the internal condyle of the femur as a free vascularised bone graft. It is possible to harvest a compound flap including a bony segment measuring 8 × 1.5 × 1.5 cm and a cutaneous saphenous flap with its nutrient pedicle arising from the descending genicular artery and vein.
This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap. Dissection of the flap is sometimes difficult due to the inconsistency of its vascular anatomy; the donor site is left with minimal morbidity but, because of weakening of the femur, our patients are instructed not to return to full weight-bearing before the sixth postoperative week.
We consider segmental reconstruction of the mandibular body to be one of the best indications for the flap.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone and Bones - blood supply</subject><subject>Bone Transplantation</subject><subject>Female</subject><subject>Femur</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Injuries - surgery</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgical Flaps - methods</subject><subject>Wounds, Gunshot - surgery</subject><issn>0007-1226</issn><issn>1465-3087</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU-LFDEQxYO4rOPoN1DIQUQPrfnXSfqyIIu6C7vMRc8hk1Q00p2MSffCfnsz28N601ORql89Ku8h9IqSD5RQ-ZEQojrKmHw30PcDoYPodk_QhgrZd5xo9RRtHpFn6Hmtv9pzEIyfo3M6cE6J2qB0a5OP-2W0BRdwOdW5LG6OOeGlxvQDWxwKAL6z1R2hWMHjXGfIbpltgrxUHEZ7aFSe8PwTcEwzlGRH3MT8_Qg4h4d-gGkpL9BZsGOFl6e6Rd-_fP52edXd7L5eX3666RxXOne9l4QxQkAFpzQEwnnPOZea8IFqCmHQoCVXqt_3QSvFid8zIUA6ToXzim_R21X3UPLvBepsplgdjON6slGMKkY4-y9IpVZUS9lAsYKu5FoLBHMocbLl3lBijnmYo9nmaLYZqHnIw-za2uuT_rKfwP9dWgNo8zeneTPYjqHY5GJ9xHrBe9G-vkUXKwbNtLsIxVQXITnwsaU2G5_jv-_4A0oApu8</recordid><startdate>1991</startdate><enddate>1991</enddate><creator>Martin, D.</creator><creator>Bitonti-Grillo, C.</creator><creator>De Biscop, J.</creator><creator>Schott, H.</creator><creator>Mondle, J.M.</creator><creator>Baudet, J.</creator><creator>Peri, G.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>1991</creationdate><title>Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur</title><author>Martin, D. ; Bitonti-Grillo, C. ; De Biscop, J. ; Schott, H. ; Mondle, J.M. ; Baudet, J. ; Peri, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378o-5d602200e7fc78ef033533368039181ef98e863775b5f87730db244e6c314cd73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone and Bones - blood supply</topic><topic>Bone Transplantation</topic><topic>Female</topic><topic>Femur</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Injuries - surgery</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgical Flaps - methods</topic><topic>Wounds, Gunshot - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Martin, D.</creatorcontrib><creatorcontrib>Bitonti-Grillo, C.</creatorcontrib><creatorcontrib>De Biscop, J.</creatorcontrib><creatorcontrib>Schott, H.</creatorcontrib><creatorcontrib>Mondle, J.M.</creatorcontrib><creatorcontrib>Baudet, J.</creatorcontrib><creatorcontrib>Peri, G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Martin, D.</au><au>Bitonti-Grillo, C.</au><au>De Biscop, J.</au><au>Schott, H.</au><au>Mondle, J.M.</au><au>Baudet, J.</au><au>Peri, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur</atitle><jtitle>British journal of plastic surgery</jtitle><addtitle>Br J Plast Surg</addtitle><date>1991</date><risdate>1991</risdate><volume>44</volume><issue>6</issue><spage>397</spage><epage>402</epage><pages>397-402</pages><issn>0007-1226</issn><eissn>1465-3087</eissn><coden>BJPSAZ</coden><abstract>The authors present a preliminary report of a new microsurgical mandibular reconstruction procedure using a segment of the internal condyle of the femur as a free vascularised bone graft. It is possible to harvest a compound flap including a bony segment measuring 8 × 1.5 × 1.5 cm and a cutaneous saphenous flap with its nutrient pedicle arising from the descending genicular artery and vein.
This surgical procedure provides a good cortico-cancellous bony segment and a separate skin flap. Dissection of the flap is sometimes difficult due to the inconsistency of its vascular anatomy; the donor site is left with minimal morbidity but, because of weakening of the femur, our patients are instructed not to return to full weight-bearing before the sixth postoperative week.
We consider segmental reconstruction of the mandibular body to be one of the best indications for the flap.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>1933107</pmid><doi>10.1016/0007-1226(91)90194-O</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of plastic surgery, 1991, Vol.44 (6), p.397-402 |
| issn | 0007-1226 1465-3087 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Bone and Bones - blood supply Bone Transplantation Female Femur Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans Male Mandibular Injuries - surgery Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgical Flaps - methods Wounds, Gunshot - surgery |
| title | Mandibular reconstruction using a free vascularised osteocutaneous flap from the internal condyle of the femur |
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