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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Article Info
Publication History
Published online: November 16, 2021
Accepted:
November 9,
2021
Identification
Copyright
© 2021 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
