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 УЧРЕДИТЕЛИ:
Институт теоретической и экспериментальной биофизики Российской академии наук.

ООО "ИЦ КОМКОН"

ФГБУН "Институт токсикологии" ФМБА России




Адрес редакции и реквизиты

192012, Санкт-Петербург, ул.Бабушкина, д.82 к.2, литера А, кв.378

Свидетельство о регистрации электронного периодического издания ЭЛ № ФС 77-37726 от 13.10.2009
Выдано - Роскомнадзор

ISSN 1999-6314

Российская поисковая система
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«
Vol. 24, Art. 77 (pp. 1126-1137)    |    2023       
»

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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Reference list

1. Sostoyanie onkologicheskoĭ pomoshi naseleniu Rossii v 2021 gody. Pod red. A.D. Kaprina, V.V. Starinskogo, A.O. Shahzadovoi., M.: MNIOI im. P.A. Gercena, filial FGBY «NMIC radiologii» Minzdrava Rossii, 2022.; 239 s.; ISBN 978-5-85502-275-9.


2. Polyakov A.P., Rebrikova I.V. Mikrohiryrgicheskaya rekonstrykciya licevogo skeleta pri lechenii zlokachestvennih novoobrazovanii golovi i shei. Onkologiya. Jyrnal im. P.A. Gercena. 2019;8(1):48 56.


3. Poljakov AP, Rebrikova IV. Microsurgical reconstruction of the facial skeleton in the treatment of malignant tumors of the head and neck. P.A. Herzen Journal of Oncology. 2019;8(1):48 56. (In Russ.) https://doi.org/10.17116/onkolog2019801148


4. Francesco Amendola , Davide Spadoni , Jonathan B Lundy et al. Reducing complications in reconstruction of the cervical esophagus with anterolateral thigh flap: The five points protocol. J Plast Reconstr Aesthet Surg, 2022 Sep;75(9):3340-3345.doi: 10.1016/j.bjps.2022.04.043.


5. A Stebel, B Hocková, J Abelovský, D Štorcelová, D Poruban, R Slávik. Functional reconstruction of soft tissue orofacial defects with microvascular gracilis muscle flap. Acta. Chir. Plast. 2020 Winter;62(3-4):68-78. PMID: 33685200


6. Karpenko A.V., Sibgatyllin R.R., Boiko A.A. i dr. Anatomiya sosydistoi sistemi perednelateralnogo bedrennogo loskyta. RMJ. Medicinskoe obozrenie. 2021;5(8):517-524. DOI: 10.32364/2587-6821-2021-5-8-517-524.


7. Taylor G.I., Miller G.D., Ham F.J. The free vascularized bone graft. A clinical extension of microvascular techniques. Plast Reconstr Surg 1975;55(5):533-44. DOI: 10.1097/00006534-197505000-00002.


8. Hidalgo D.A. Fibula free flap: a new method of mandible reconstruction. Plast Reconstr Surg 1989;84(1):71-9.


9. Dos Santos L.F. The scapular flap: a new microsurgical free flap. Bol Chir Plast 1980;70:133.


10. Gilbert A. Free vascularized bone grafts. Int Surg 1981;66(1):27-31.


11. Adelstein D, Gillison ML, Pfister DG, Spencer S, Adkins D, Bri- zel DM, et al. NCCN Guidelines insights: head and neck cancers. Version 2.2017.


12. Bianchi B, Ferri A, Ferrari S, Copelli C, Perlangeli G, Leporati M, Ferri T, Sesenna E. Reconstruction of mandibular defects using the scapular tip free flap. Microsurgery. 2015;35(2):101-106. https://doi.org/10.1002/micr.22285


13. Vamadeva SV, Tadros A. Head and neck reconstruction. Br J Hosp Med (Lond). 2016;77(6):343-348.


https://doi.org/ 10.12968/hmed.2016.77.6.343


14. Mydynov A.M., Sobolevskiĭ V.A., Ivashkov V.U. i dr. Flyorescentnaya angiografiya kak metod intraoperaci- onnoĭ ocenki perfyzii aytotransplantata pri rekonstrykcii kombi- nirovannih defektov y bolnih s opyholyami golovi i shei. Annali plasticheskoĭ, rekonstryktivnoĭ i esteticheskoĭ hiryrgii 2015;(4):31-7. [Mudunov A.M., Sobolevsky V.A., Ivashkov V.Yu. et al. Fluorescent angiogra- phy as a method of intraoperative evaluation of flap perfusion in the reconstruction of combined defects in patients with head and neck tumors. Annaly plasticheskoy, rekonstruktivnoy i esteticheskoy khirurgii = Annals of Plastic, Reconstructive, and Aesthetic Surgery 2015;(4):31-7. (In Russ.)].





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