Behandlungskonzepte zur Rekonstruktion bei ausgedehnten Unterkieferdefekten

• Verfasst von: Freier, Kolja [VerfasserIn]
• Verfasst von: Mertens, Christian [VerfasserIn]
• Verfasst von: Engel, Michael [VerfasserIn]
• Verfasst von: Hoffmann, Jürgen [VerfasserIn]
• Titel: Behandlungskonzepte zur Rekonstruktion bei ausgedehnten Unterkieferdefekten
• Verf.angabe: K. Freier, C. Mertens, M. Engel, J. Hoffmann
• Jahr: 2013
• Jahr des Originals: 2012
• Umfang: 8 S.
• Teil: volume:61
• Teil: year:2013
• Teil: number:7
• Teil: pages:551-558
• Teil: extent:8
• Fussnoten: Published: 29 December 2012 ; Gesehen am 07.05.2021
• Schrift/Sprache: Text deutsche, Zusammenfassung deutsch und englisch
• Titel Quelle: Enthalten in: HNO
• Ort Quelle: Berlin : Springer, 1996
• Jahr Quelle: 2013
• Band/Heft Quelle: 61(2013), 7, Seite 551-558
• ISSN Quelle: 1433-0458
• DOI: doi:10.1007/s00106-012-2590-2
• Datenträger: Online-Ressource
• Sprache: ger
• Sach-SW: Bone Transplantation
• Sach-SW: Combined Modality Therapy
• Sach-SW: Free Tissue Flaps
• Sach-SW: Humans
• Sach-SW: Mandible
• Sach-SW: Mandibular Neoplasms
• Sach-SW: Mandibular Reconstruction
• Sach-SW: Maxillary Osteotomy
• K10plus-PPN: 1757484396

Abstract

Tumours of the mandibular bone or adjacent soft tissue often necessitate mandibular resection. Subsequent primary bone reconstruction to achieve optimal functional and aesthetic results has been made possible by microvascular surgical techniques and now represents the international gold standard. Microvascular reanastomosis of autologous bone grafts from the iliac crest or fibula is the most common procedure for reconstruction of the mandible. The localisation and extent of the expected defect, as well as a patient's overall condition and ability to tolerate long surgical procedures must be carefully considered before deciding upon the course of treatment. Additional microvascular reanastomosis of soft tissue flaps and stereolithographic models facilitate preoperative planning and broaden the surgical spectrum. Following successful reconstruction of the bone, insertion of dental implants and prosthetic rebuilding are required to complete rehabilitation, including restoration of the patient's ability to chew and speak. The authors recommend specialised oncologic centres for such complex surgical reconstructions.