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Oral Cancer

Erschienen in:

09.01.2019 | Review Article

Challenges in multi-unit reconstruction: a framework perspective

verfasst von: Brittany R. Barber, Brett A. Miles

Erschienen in: Oral Cancer | Ausgabe 1-2/2019

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Abstract

Background

Locally advanced or recurrent head and neck cancer can present both oncologic and reconstructive challenges. There are no current guidelines for reconstruction of multi-unit defects, yet reconstructive goals should serve the purpose of providing a safe healing environment for both adjuvant therapy and functional rehabilitation. In light of a younger head and neck cancer population, reconstructive methods aimed at preserving form and function over a long survivorship period are optimal.

Methods

The review of the literature regarding use of single or double free flaps, with or without locoregional reconstructive options, and new techniques for multi-unit defects is described.

Results

Managing complex defects with multiple units involves determining a framework of critical, optimal, and optional elements for each reconstruction with consideration of the medical tolerance of the patient and long-term functional rehabilitation.

Conclusion

Multi-unit reconstruction should involve distinction of critical, optimal, and optional aspects to provide a safe healing environment for both adjuvant therapy and functional rehabilitation fit for long-term survivorship.

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Titel: Challenges in multi-unit reconstruction: a framework perspective
verfasst von: Brittany R. Barber
Brett A. Miles
Publikationsdatum: 09.01.2019
Verlag: Springer International Publishing
Erschienen in: Oral Cancer / Ausgabe 1-2/2019
Elektronische ISSN: 2509-8837
DOI: https://doi.org/10.1007/s41548-018-0016-x

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