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Vol. 24, Art. 77 (pp. 1126-1137)    |    2023       

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The results of the use of muscle flaps to compensate for the combined defects of the middle part of the face, which have an intraoral component

Ivashkov V.Ju.1, Bairamova А.S.2, Kolsanov А.V.1, Nikolaenko А.N.1, Semenov S.V.2Аrutyunov I.G.3, Dakhkilgova R.I.4

1Samara State Medical University (Samara, Russia)
2Sechenov First Moscow State Medical University (Moscow, Russia)
3Joint-stock company "GROUP of COMPANIES "MEDSI"
4Federal State Budgetary Educational Institution of Higher Education Russian Biotechnological University (Moscow, Russia)

Brief summary

The purpose of this study is analyzing and calculating the results of using surgical musculoskeletal flaps with the replacement of post-resection defects of the facial skeleton with an intraoral component. Materials and methods: In this study, we conducted a retrospective analysis of reconstructive operations of the head and neck, which were performed at various clinical bases of the Russian Federation in 53 patients, as well as a review of the literature on existing methods for the reconstruction of combined oral defects. Results: after surgery to repair mandibular defects with an intraoral component using a peroneal musculoskeletal flap, patients were able to eat and talk independently. As a result of the restoration of the lost bone structures of the lower jaw, a natural facial contour was achieved. The average length of stay of patients in the hospital did not exceed 15 days. The absence of a skin pad and subcutaneous fat in the used flaps leads to a decrease in the risk of loss of the skin component, which in turn reduces the need for local plastic surgeries necessary for further endoprosthetics. In conclusion, I would like to note that the use of musculoskeletal flaps in plastic reconstruction has significant advantages. This makes it possible to reduce the traumatism of the donor area and avoid the need for its plastic closure, as well as to reduce the number of corrective operations before dental implantation and prosthetics.


Key words

intraoral defect, head and neck tumors, oral cancer, musculoskeletal flap.

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