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Digitally reconstructed severe trauma-induced oro-maxillofacial defects with free vascularised composite tissue flaps

  • Author Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Canyang Jiang
    Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Affiliations
    Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Author Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Jianping Huang
    Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Affiliations
    Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Author Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Lisong Lin
    Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
    Affiliations
    Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Yuerong Lin
    Affiliations
    Department of Anesthesiology, Anesthesiology Research Institule, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Bin Shi
    Affiliations
    Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Li Huang
    Correspondence
    Corresponding author at: Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, No. 20 Cha-Ting-Zhong Road, Tai-Jiang District, Fuzhou 350000, China.
    Affiliations
    Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
    Search for articles by this author
  • Author Footnotes
    1 Canyang Jiang, Jianping Huang and Lisong Lin contributed equally to this manuscript.
Published:November 16, 2021DOI:https://doi.org/10.1016/j.bjoms.2021.11.006

      Abstract

      The aim of this study was to outline the characteristics of severe trauma-induced oro-maxillofacial defects and explore the application of microsurgical reconstruction of these defects by selecting appropriate free vascularised composite tissue flaps. A retrospective analysis was performed in 11 cases with severe trauma-induced oromaxillofacial defects from 2005 to 2018, All cases were reconstructed with free vascularised composite flaps using a supermicro-surgical/micro-surgical and digital technology. This study consisted of 11 patients (8 men, 3 women) with a median age (range) of 28 (6–64) years. Patients with long-standing trauma experienced severe scars and displacements. The trauma-induced oro-maxillofacial defects ranged in size from 4.0 × 5.0 cm2 to 7 × 15 cm2. Six radial forearm flaps, three fibular osteocutaneous flaps, a lateral thoracic flap, and an anterolateral thigh flap were harvested individually. All patients were treated effectively and followed up for over two years, with a 100% survival rate of these free vascularised composite tissue flaps. No uncontrollable complications occurred, and all patients were satisfied with the postoperative shape and function. The trauma-induced oro-maxillofacial defects display unique features, and microsurgical techniques play an important role in the reconstruction of shapes and function. In addition, some patients may need multi-stage surgeries to attain aesthetic refinement.

      Keywords

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