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2021 | OriginalPaper | Buchkapitel

20. Gestielte Gewebetransplantation

verfasst von : Michael Ehrenfeld, Carl-Peter Cornelius

Erschienen in: Mund-, Kiefer- und Gesichtschirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Die Einteilung der Gewebetransferverfahren in gestielte und freie Transplantationen spiegelt die Geschichte der plastischen Deckung von tumorbedingten oder traumatisch verursachten Defekten wider und ist durch die Fortschritte des anatomischen Grundlagenwissens und der instrumentell-technischen Möglichkeiten begründet. Die erfolgreiche klinische Realisierung der freien mikrochirurgischen Gewebetransplantation zu Anfang der 1970er-Jahre gab dabei Anlass, die Unterscheidung in gestielte und freie Lappenplastiken als ein Hauptkriterium zur Klassifikation von Lappentransplantaten festzuschreiben. Konträr zu den freien Lappenplastiken („free flaps“), bei denen die nutritiven Gefäße freipräpariert, getrennt und in einer entfernt liegenden Empfangsregion reanastomosiert werden, bleibt bei den gestielten Lappen („pedicled flaps“) die Vaskularisation über eine Gewebebrücke (Haut, Subkutis) oder über einen isolierten Gefäßstiel während der Einheilungsphase aufrechterhalten.

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Titel: Gestielte Gewebetransplantation
verfasst von: Michael Ehrenfeld
Carl-Peter Cornelius
Verlag: Springer Berlin Heidelberg
Buch: Mund-, Kiefer- und Gesichtschirurgie
Print ISBN: 978-3-662-58983-0

Electronic ISBN: 978-3-662-58984-7

Copyright-Jahr: 2021
DOI: https://doi.org/10.1007/978-3-662-58984-7_20

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