Transplantation of free latissimus dorsi myocutaneous flaps for craniomaxillofacial reconstruction.
- Author:
Chu-yu HE
1
;
Xing-an LU
;
Ju-yu TANG
;
Jun LIU
;
Song-lin XIE
;
Ming-jiang LIU
;
Xing-jun ZHOU
Author Information
- Publication Type:Case Reports
- MeSH: Adult; Aged; Craniofacial Abnormalities; surgery; Female; Humans; Male; Maxillofacial Abnormalities; surgery; Middle Aged; Muscles; metabolism; surgery; Reconstructive Surgical Procedures; methods; Surgical Flaps; Transplantation, Homologous; Treatment Outcome
- From: Chinese Journal of Plastic Surgery 2004;20(2):106-107
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThis clinical study was to improve the surgical treatment to craniomaxillofacial tissue defects.
METHODSSince 1997, eight cases with severe craniomaxillofacial defects were treated using free latissimus dorsi myocutaneous flaps. In the operation, nerve anastomosis was performed. Of the 8 cases, 7 were treated in one stage, 1 was treated in 3 steps. The craniomaxillofacial defects ranged from 10 cm x 8 cm to 30 cm x 12 cm. The flaps was 12 cm x 10 cm to 32 cm x 16 cm in size.
RESULTSPostoperative follow-up for 6 months to 4 years demonstrated satisfactory results in all the cases. There was neither necrosis nor ulcer after the operation. The sensation recovery of the flap was also satisfactory.
CONCLUSIONFree transfer of the latissimus dorsi myocutaneous flap is an ideal treatment to severe craniomaxillofacial defects as it possesses the advantages of reliable blood supply, ability against infections, large size, concealed donor site, and functional restoration of sensation and movement.
