Reconstruction of Total Maxillectomy and Orbital Floor with a Free Scapula Tip Flap
The scapula tip free flap is a well-suited flap for total maxillectomy reconstruction; however, when the orbital floor is included in the resection, an additional method of reconstruction is usually needed for the orbital floor, such as alloplastic materi
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Contents The Clinical Scenario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Preoperative Problem List /Reconstructive Requirements . . . . . . . . . . . . . . . . . . . . . . . . . .
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Treatment Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Alternative Reconstructive Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Preoperative Evaluation and Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Preoperative Care and Patient Drawing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Surgical Technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Technical Pearls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Intraoperative Images (Figs. 4, 5, 6, 7, and 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Outcome, Clinical Photos, and Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Avoiding and Managing Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Learning Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Cross-References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Abstract
L. Vieira (*) · A. Rodriguez-Lorenzo Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital and Department of Surgical Sciences, Uppsala University, Uppsala, Sweden e-mail: [email protected] R. Schweizer Division of Plastic and Hand Surgery, University Hospital Zurich, Zurich, Switzerland
The scapula tip free flap is a well-suited flap for total maxillectomy reconstruction; however, when the orbital floor is included in the resection, an additional method of reconstruction is usually needed for the orbital floor, such as alloplastic material or bone grafts. In this chapter, a novel design of the Scapula tip free flap with a thin vascularized bone used for the orbital floor reconstruction after total maxillectomy is described.
© Springer Nature Sw
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