Synchronous reconstruction of bilateral osteoradionecrosis of the mandible using a single fibular osteocutaneous flap in patients with nasopharyngeal carcinoma

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dc.contributor.authorFan, Song
dc.contributor.authorWang, You-Yuan
dc.contributor.authorLin, Zhao-Yu
dc.contributor.authorZhang, Da-Ming
dc.contributor.authorYu, Xin
dc.contributor.authorChen, Wei-Xiong
dc.contributor.authorZhong, Jiang-Long
dc.contributor.authorLi, Qun-Xing
dc.contributor.authorFeng, Yu-Huan
dc.contributor.authorChen, Wei-Liang
dc.contributor.authorPan, Chao-Bin
dc.contributor.authorDias-Ribeiro, Eduardo [UNESP]
dc.contributor.authorSonoda, Celso Koogi [UNESP]
dc.contributor.authorYe, Jian-Tao
dc.contributor.authorLi, Jin-Song
dc.contributor.institutionDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionDepartment of Prosthodontics, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
dc.date.accessioned2015-12-07T15:36:17Z
dc.date.available2015-12-07T15:36:17Z
dc.date.issued2015-03-17
dc.description.abstractThe reconstruction of bilateral osteoradionecrosis (ORN) of mandibular defects using a single free bone flap is rarely performed because extensively radiated neck tissue with severe fibrosis is usually unsuitable for vascularized reconstruction. Thirty-one patients with nasopharyngeal carcinoma (NPC) underwent bilateral reconstruction of advanced ORN in the mandible using a single fibular osteocutaneous flap. Clinical factors associated with the operation were assessed, including classification of mandible defects, types of recipient vessels, perioperative complications, and postoperative outcomes. All of the fibular osteocutaneous flaps survived completely, with the exception of 1 inner skin paddle that presented partial necrosis in a reconstruction of through-and-through defects. All patients experienced an improvement in cosmetic results 6 months after the reconstruction, whereas 23 patients experienced improved mouth opening compared to the preoperative condition. Advanced bilateral ORN in patients with NPC could be synchronously reconstructed with a single fibular osteocutaneous flap. © 2015 Wiley Periodicals, Inc. Head Neck, 2015.en
dc.description.affiliationDepartment of Oral and Maxillofacial Surgery, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
dc.description.affiliationDepartment of Oral and Maxillofacial Surgery, Dental School of Araçatuba, Universidade Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil.
dc.description.affiliationDepartment of Prosthodontics, Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University, Guangzhou, China.
dc.description.affiliationUnespDepartment of Oral and Maxillofacial Surgery, Dental School of Araçatuba, Universidade Estadual Paulista (UNESP), Araçatuba, São Paulo, Brazil.
dc.identifierhttp://dx.doi.org/10.1002/hed.24049
dc.identifier.citationHead & Neck, 2015.
dc.identifier.doi10.1002/hed.24049
dc.identifier.issn1097-0347
dc.identifier.lattes5007703439443544
dc.identifier.pubmed25783596
dc.identifier.urihttp://hdl.handle.net/11449/131487
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation.ispartofHead & Neck
dc.relation.ispartofsjr1,254
dc.rights.accessRightsAcesso restrito
dc.sourcePubMed
dc.subjectBilateral osteoradionecrosisen
dc.subjectFibular osteocutaneous flapen
dc.subjectMandibleen
dc.subjectNasopharyngeal carcinomaen
dc.subjectSynchronous reconstructionen
dc.titleSynchronous reconstruction of bilateral osteoradionecrosis of the mandible using a single fibular osteocutaneous flap in patients with nasopharyngeal carcinomaen
dc.typeArtigo
dcterms.rightsHolderWiley-Blackwell
unesp.author.lattes5007703439443544
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araçatubapt

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Artigos - Cirurgia e Clínica Integrada - FOA