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2021 | OriginalPaper | Buchkapitel

21. Mikrochirurgische Transplantate

verfasst von : Frank Hölzle, Michael Ehrenfeld

Erschienen in: Mund-, Kiefer- und Gesichtschirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Freie Lappen finden seit 1977 Einsatz in der rekonstruktiven Mund-, Kiefer- und Gesichtschirurgie und sind heute ein fester Bestandteil des Fachgebiets. Im Wesentlichen spielt dabei die Wiederherstellung nach ablativer Tumorchirurgie eine große Rolle, für die sich diese mikrochirurgisch anastomosierten Transplantate durchgesetzt haben. Bei routinemäßigem Einsatz von mikrochirurgischen Transplantaten ist eine Erfolgsrate mit kompletter Einheilung des Lappens zwischen 90–95 % zu erwarten. Dies kann sogar regelmäßig auf vorbestrahlte Patienten zutreffen. Ein mikrochirurgisches Transplantat ist für den klinischen Routineeinsatz dann geeignet, wenn 3 wichtige Voraussetzungen erfüllt sind: 1) An der Entnahmestelle des Transplantats, in der Transplantatspenderregion, sollten möglichst definierte und konstante anatomische Gegebenheiten vorliegen; 2) die das Transplantat versorgenden Blutgefäße sollten kaliberstark sowie unversehrt sein und einen möglichst variantenarmen Verlauf aufweisen; 3) die Transplantatentnahme sollte nicht oder zu nur geringfügigen funktionellen und/oder ästhetischen Beeinträchtigungen führen.

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Titel: Mikrochirurgische Transplantate
verfasst von: Frank Hölzle
Michael Ehrenfeld
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_21

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21. Mikrochirurgische Transplantate

Zusammenfassung

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